We help ACOs use the new public benchmark data to make informed decisions about whether to choose in a traditional ACO, a next-generation ACO, or enter into a Virtual ACO with a payer partner.
Louisville, KY (PRWEB) September 30, 2015
The National Association of Accountable Care Organizations (NAACOS) is a coalition of Accountable Care Organizations (ACOs) contributing to public policy, education on payment models and best practices, and establishing national metrics for benchmarking data. RowdMap, Inc. uses newly released government benchmark data to help providers participating in ACOs or alternative arrangements successfully make the transition to shared risk and actively participates with and supports industry coalitions.
RowdMap, Inc. is pleased to add NAACOS as a partner and support NAACOS in their efforts and goals of education, policy participation and benchmarking data across their organizations functions and at their national confernce: https://www.naacos.com/partners/ RowdMap, Inc. will be at the NAACOS 2015 Fall Conference on October 8-9 at the Capital Hilton, Washington, DC.
Success in an ACO or alternative value based model comes from improving the efficiency, quality and experience of care. Last year, the US spent $850BB on low and no value care from higher intensity, and riskier treatment options that deliver no additional benefits to patients. Thirty cents of every dollar and up to 42% of patients receive his care every year. This low and no value care is driven by a Fee for Service (FFS) economic model where doctors and hospitals are paid more for doing more, and higher intensity treatment. This unnecessary spending far outweighs fraud, waste and abuse, but is not identifiable from traditional utilization reviews and unit cost analysis.
The Centers for Medicaid and Medicare Services (CMS) and CMMI have created a number of innovation programs to move from FFS to shared risk and value-based care, delivery and payments including ACOs and have recently announced a Next Generation ACO Model. http://innovation.cms.gov/initiatives/Next-Generation-ACO-Model/
CMS has made historic data releases including the largest data set of doctors and hospitals in history to support identifying provider practice patterns with national and regional benchmarks in order to transition the delivery of care to value-based payments. https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2015-Press-releases-items/2015-06-01.html
RowdMap, Inc. helps providers use these data to determine whether participating in an ACO or other risk arrangement not only meets operational metrics, but whether the program participant is mitigating unnecessary spending and no value care to lower costs, improve patient experience and minimize complications and negative outcomes for patients. RowdMap, Inc. helps ACOs, determine a population’s impact on the success of an ACO program, but also quantifies the impact of a population on an ACO’s performance. RowdMap, Inc. helps providers identify whether an alternative pay for value program may be a better option such as a Managed Shared Savings Program, a bundled arrangement, or a capitated arrangement or curated network with a payer partner.
“We help ACOs use the new public benchmark data to make informed decisions about whether to choose in a traditional ACO, a next-generation ACO, or enter into a Virtual ACO with a payer partner.” Ashley Distler, Senior Client Strategist, RowdMap, Inc.
Those interested in learning more are encouraged to contact RowdMap, Inc. directly or visit RowdMap, Inc. at the NAACOS 2015 Fall Conference on October 8-9 at the Capital Hilton, Washington, DC.
About RowdMap, Inc. :
An Ernst and Young EY Entrepreneur Of The Year® winner, RowdMap helps health plans, government payers, providers, and hospital systems develop Risk-Readiness (SM) strategies to excel as they transition from fee-for- service to pay-for value. As CMS sunsets fee-for-service payments, RowdMap's Risk-Readiness (SM) Platform helps payers and providers identify and manage unwarranted and unexpected variation. RowdMap identifies ideal provider arrangements based on provider practice patterns and population characteristics within a geography. Payers and providers then use RowdMap to build strategies around these new risk relationships. RowdMap helps them enter new markets, segment populations, identify waste, design products, and understand referral patterns. RowdMap's platform comes preloaded with government benchmarks out of the box no IT integration required. RowdMap's Risk-Readiness (SM) Platform works across all market segments and has significantly larger returns than traditional, medical economic approaches.