Accountable Care Organizations (ACO) have proven to be one of the most effective approaches for improving quality and lowering the cost of care for patients (1). However, ACOs still struggle with coordinating care team activities such as closing care gaps and leveraging care coordinator resources across multiple providers and practices across multiple sites. As a result, care team activities that have the most impact on value-based contract performance are not easily prioritized and lack traceability.
Myelin was built to optimize the performance of clinical care teams operating under value-based care (VBC) payment models. One such activity is conducting Annual Wellness visits for patients. For primary care providers, one of the most important and successful activities a clinic can do to improve their quality measure scores and lower costs is completing Annual Wellness Visits (AWV) for their attributed patient population (2).
We conducted an analysis of a pilot with an independent primary care ACO, which used Myelin to identify, track, and complete Annual Wellness Visits. Over the course of just 6 months, their AWV completion rate increased from 50% to 81%.As a direct result of this improvement, patient attribution improved and the “quarterly churn” of patient empanelment was reduced to 0.5%. This single effort led to an increase in over $10,000 per provider in annual value-based revenues.
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