5 ways Pioneer ACOs are using technology

Is there any good news from the existing 23 accountable care organizations in the Pioneer ACO program, amid news that nine will leave because of failure to produce savings, two leaving the program entirely? Technology leaders at some of the remaining Pioneer ACOs seem to think so.

In interviews with InformationWeek Healthcare, they highlighted key areas where IT is providing a foundation for an ACO operation that works.

For example, Boston-based physician group Atrius Health uses an electronic health record system to help clinicians remain wary of how much services to provide before deciding which medication to prescribe, Richard Lopez, chief medical officer said.

Lopez said Atrius also uses the EHR to enable communication between primary care physicians and specialists. What's more, he said, the health system takes quality metrics from rosters used from patient rosters for population health management.

Bill Spooner, chief information officer at San Diego-based Sharp Healthcare, meanwhile, told InformationWeek that he wants his patients to be "sticky," so they'll keep coming back to Sharp for their care. To that end, he said, Sharp employs patient portals and maintains a "substantial" online presence.

"The interesting thing about the current state of ACOs is that we call them accountable care, but the only person that is accountable is the provider," Spooner said. "The patient has the option to go to any provider they want, yet the provider is accountable for the care and the cost."

The Certification Commission for Health Information Technology in June released a 42-page IT framework to help organizations as they shift into accountable care models. The paper was developed to address a basic issue with the transformation: lack of experience and knowledge about the necessary health IT infrastructure. As organizations grow and gain experience, the recommendations are expected to evolve, the authors say.

To learn more:
- read the article in InformationWeek Healthcare

Free Webinar

Take Control of Your Escalating Claim Costs through a Comprehensive Pre-payment Hospital Bill Review Solution

Today managing high dollar claim spend is more important than ever for Health Plans, TPAs, Employers, and Reinsurers, and can pose significant financial risks. How can these costs be managed without being a constant financial drain on your company resources? Our combination of the right people and the right technology provides an approach that ensures claims are paid right, the first time. Register Now!

Suggested Articles

JetBlue, Lufthansa, Swiss International Airlines, United Airlines, and Virgin Atlantic will roll out the CommonPass mobile app in December.

The pandemic is transforming the way the healthcare industry handles payments. Here are key takeaways on the benefits of automated payments.

After hitting the high-water mark in the third quarter, global healthcare funding is projected to slow down in the final quarter of 2020.