Accountable Care Organizations  

MedHOK provides an end-to-end solution for ACOs – the software, technology infrastructure and comprehensive consulting services – to help establish a solid foundation and ensure long-term success of your ACO.  MedHOK is the one-stop solution for all your ACO needs.

CMS is moving fast to implement these physician-hospital partnerships that will operate in the Medicare fee-for-service environment and share in upside savings if they reduce costs and improve quality.  MedHOK’s software can help your ACO build the quality and analytical infrastructure it needs.  Our care management modules facilitate the tracking necessary to improve outcomes across the continuum of care.  Access to this information by all ACO participants is essential to your success if you have any hope of truly providing coordinated, integrated care to your members, meeting quality metrics and reducing costs.  We can also help with workflow management—especially related to disease and case management, appeals and grievances, care transitions, and test results and referral tracking.   These processes will be vital to managing patient care, improving health outcomes and reducing expenditures.

• MedHOK’s 360ACO® is a complete technology solution for ACOs.  360ACO® clinically integrates participant information in real-time between providers and hospitals within the ACO to provide participants with high-quality, cost-effective care.  The disease and case management modules allow the ACO to manage care for high-risk patients, reducing unnecessary utilization and encouraging better patient self-management. Disease and case management are central to assisting ACOs with meeting quality metrics and reducing Medicare expenditures in order to recognize shared savings.  Your ACO can monitor its quality performance in real time to ensure your organization is on target to meet the rigorous quality standards that will allow you to share in any reductions in Medicare FFS expenditures. Learn more

• ACO Consulting Services. MedHOK offers comprehensive services that establish a solid foundation to help ensure the long-term success of your ACO including:
  • Assessment of operational, financial, clinical, quality, IT and claims infrastructure.
  • Enhancement of organizational, operational, clinical and quality infrastructures to ensure doctors and hospitals have the right information to serve ACO members.
  • Drafting comprehensive business plans, including the needed legal entities and relationships for the ACO.
  • Preparing for expected NCQA certification.
  • Facilitating contracting and structuring financial relationships between doctors and hospitals.
  • Undertaking financial modeling to clearly define challenges and opportunities.
  • Preparing the formal CMS application to secure ACO designation.
  • Ongoing assessment of current and future CMS regulations governing ACO development and operation.