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As we head towards the Fall, ACOs are looking to improve shared savings through better acuity capture, improving HCC capture—without unreasonable time demands on already-overworked providers. This requires a targeted, data-driven approach, especially as the window begins to close. We use our privileged access to Medicare’s full claims database to identify how well every ACO is capturing every HCC, compared to “digital twins”—that is, patients elsewhere in the country with similar clinical profiles. We can then suggest conditions, providers, and even patients where greater focus on HCC capture would yield an outsized return.
We built our new HCC capture dashboard to share some of these insights and help ACOs across the country understand the organizations they’re being compared against. For every HCC, the dashboard highlights recapture rates at each point in the year based on the actual capture rates for patients with similar clinical histories.