ACO PARTNERSHIP PROGRAM

As healthcare reform legislation takes effect, risk-based payment models promise to change the industry as we know it. Healthcare reform is shifting the core incentives of Accountable Care Organizations (ACO) away from the pursuit of high-profit, acute care procedures and towards coordinated, efficient and quality care.

New ACO models, such as value-based purchasing, readmission penalties, bundled payments and shared savings, will now hold organizations increasingly accountable for the quality, cost and utilization of healthcare services. To prepare for new payment models, HealthSmart addresses four key areas:

1. Service Line Organization: Building a Dynamic Leadership Structure

2. Care Processes: Redesigning Care Processes for Value

3. Product Strategy: Mitigating the Risk of Accountable Care

4. Growth and Marketing: Moving to Compete Upstream

Value-Added Services for the Medical Community

HealthSmart’s effective solutions set us apart from the competition. We understand the complexities and challenges that today’s hospitals are confronted with, as both employers and providers. HealthSmart’s ACO Partnership Program bridges administrative, financial and clinical functions into an integrated program that delivers quality care.

Solutions-at-a-Glance

  • Provider profiling services
  • Performance-based network management and credentialing
  • Outcomes-based care management
  • Predictive population management
  • Wellness programs
  • Readiness assessments for clinical integration
  • Claims administration services
  • Benefit plan flexibility
  • Single administrative platform
  • Workflow solutions for care managers and community partners
  • Healthcare reform compliance
  • Fully-Integrated provider management
  • EDI capabilities and system security
  • HIPAA compliance
  • Extensively trained and experienced personnel

Download the ACO Partnership Program flier.

For more information on the ACO Partnership Program, please email ACO@healthsmart.com or call 800.444.3995.