Medicaid ACO (Accountable Care Organizations)

Medicaid ACO (Accountable Care Organizations)

Accountable Care Organizations (ACO) have experienced tremendous growth in recent years, with the number of ACOs nationwide increasing by more than 500 percent in the past four years. An Accountable Care Organization includes doctors, hospitals, and community-based organizations that work together to coordinate care for vulnerable individuals in their communities. Today more than 28 million healthcare participants are covered under an ACO model. With the Affordable Care Act providing incentives for ACO formation, this number is expected to continue to rise for at least the next five years.

States are increasingly turning to Medicaid ACOs to control program costs while delivering high quality care and better health outcomes. ACOs have shown the potential to generate total program savings while achieving target quality outcomes. Successful ACOs have established benchmarks for tracking and quantifying population health outcomes and changes over time. In order for ACOs to be able to collect, analyze, and use this information for optimal impact, a care coordination platform must bring together information from the following systems:

  • aco-structureProvider Electronic Health Record (EHR)
  • Health Information Exchanges (HIE)
  • Behavioral health systems
  • Care coordination systems
  • Population health analytics

The ClientTrack Care Coordination Platform connects multiple providers and systems of care within an ACO across a common platform, thus uniting medical health professionals, behavioral health providers, and community-based case managers who work together with the patient to achieve desired health outcomes.

The ClientTrack Care Coordination Platform is highly flexible in data structure, configurable for a wide variety of system needs, and features an open API for data exchange with medical and behavioral health EHRs.

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