Network Leakage: The Cause & Effect

June 18, 2021Garrett SchmittNo Commentsleakage

Technology has the opportunity to create seamless communication for healthcare organizations, providing a secure and efficient method for ensuring patient, staff and provider satisfaction. It can enable better collaboration for healthcare providers and improves care coordination and delivery. But what happens when technology, such as EHRs, do not communicate with one another? The value in…

Solving the ACO’s Out-of-Network Utilization Problem

March 29, 2021Garrett SchmittNo Commentsleakage, Referrals

March 29, 2021 – Physician networks are key to the success of accountable care organizations. Leaders of these organizations, otherwise known as ACOs, lean on their networks of high-quality, cost-efficient providers to improve patient outcomes, reduce costs of care, and achieve shared savings. But patients don’t always stay within cultivated high-performing networks, creating quality and cost…

Accountable Care Organizations Shifting Gears in 2020 (survey)

September 24, 2020Garrett SchmittNo Commentsleakage

With CMS recently releasing MSSP 2019 performance results and the lingering pandemic, ACOs across the country are evaluating and shifting their priorities.  Our organization would like to get a better handle on the issue at large and how it continues to affect ACOs this year and in the future. Proficient Health is conducting market research…

Bridging the EHR Divide. Helping ACOs and CINs Overcome Communication Challenges

April 1, 2020Garrett SchmittNo Commentsleakage

The newly release eBook by Proficient Health discussed practical strategies to boosting patient satisfaction, reducing network leakage and improving care coordination. With ever changing regulations, goals, payment models and incentive plans, today’s ACOs and CINs have to be agile. They must have a strategy and tools in place to drive performance under a variety of…

Out-of-Network Primary Care Linked to Higher ACO Costs

February 19, 2020Garrett SchmittNo CommentsACOs, leakage, Primary Care

Patients receiving primary care outside of their defined accountable care organization (ACO) network drive up costs for ACOs, a recent study from Portland State University said. The Medicare Shared Savings program sparked the growth of ACOs. These payment models intend to reduce healthcare costs while improving patient care through care coordination among a network of participating providers. Those…

Out-of-Network Primary Care Tied to Rising ACO Costs

February 18, 2020Garrett SchmittNo Commentsleakage

Accountable Care Organizations formed for the first time in 2011 and were designed to combat rising medical costs and provide more coordinated care to Medicare patients. But the savings have been inconsistent nationwide. A new Portland State University study looked at what’s driving these inconsistencies and what ACOs might do to resolve the issue. The study…

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