Facebook Twitter Twitter

Implement ACO  


360ACO® is an end-to-end software and technology infrastructure for ACOs.  MedHOK’s 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.

Key Features:

  • Advanced Technology: Visually intuitive and 100% web-based, 360ACO® is HIE ready and ICD-10 compliant and provides stakeholders the flexibility to implement modules individually or all at once.  It is rapidly deployable and can be delivered in a highly secure manner to any device – desktop, handheld and/or PDA.
  • Pay for Value: Radically reduces the setup and design of value-based payment structures.
  • Connectivity: HIE ready and NHIN compliant.  We create a private ACO HIE for your organization and connect all participants in the ecosystem to share actionable and relevant information.
  • Data Integration: Collect data from multiple existing systems using prebuilt connectors, including administrative, clinical, quality, survey, EMR and financial information.  
  • Provider Contact Management: Ability to track all correspondence and contacts between providers, patients and ACO personnel.
  • Evaluate Disease and Care Management Programs: Enables detailed assessments of client programs, including actionable insights that help medical directors make informed decisions to improve program performance.
  • Metrics Dashboard: Provides ongoing status snapshots, including a tailored set of performance metrics, to measure current program performance against multiple baselines, including historical performance and external benchmarks.
  • Early Detection of Uncoordinated Care: Identify patients or populations with uncoordinated care patterns to facilitate early interventions that can lead to improved quality, satisfaction scores and reduced costs.
  • Reporting: The module has a reporting feature that has a library of canned reports and a built-in business intelligence (BI) tool that allows users to create ad hoc reports and store for future running.
  • Data Aggregation and Cleansing: Cleanses, normalizes, standardizes and optimizes data to make it actionable.
  • Data Marts: Prebuilt clinical, quality, financial and operational data marts and configurable templates radically reduce the design and setup of custom measures.
  • Predictive Analytics and Risk Score: Integrated, well-tested and reliable models from a nationally recognized academic institution are used to generate profiles based on clinical, quality and financial data for patients, providers and local populations. Risk scores are received for every beneficiary, enabling users to make timely predictions regarding those who are at the highest risk and more accurately predict future care costs and pharmaceutical use.
  • Quality & Performance Measures: Configurable template-driven solution for quality and performance measures. Supports HEDIS®, GPRO, ePrescribing, EHR and other proprietary quality and performance measures. System has the ability to profile at the patient, provider and population levels.
  • Test Results and Referral Tracking: Through the use of a workflow management system, test results and patient referrals may be tracked to ensure participants are getting the required services and that the information is available to primary care providers with the push of a button.
  • Enrollment Management: The system uploads eligibility files and individual information from CMS and populates demographic data regarding assigned beneficiaries to the ACO.  The system allows one user to update important participant information, such as a new phone number, for all MedHOK users, not just their individual organization, ensuring continuous communication with assigned beneficiaries.
  • 360 Beneficiary: This improves the quality of care for the assigned beneficiary based on all healthcare information made available under the individual in one defined area. All case and disease management notes, prior authorizations, claims, correspondence, etc. is retained at the beneficiary level so the MedHOK user is able to have a 360-degree view of the beneficiary.
  • Case Management: Includes intelligent workflow queue management that optimizes the resources used to manage cases, automates calendaring of tasks and provides the ability to communicate with constituents via the medium of their choice. Functions include candidate identification, automated assessments, automated care plans, integrated workflow, dashboard reporting, interventions, goals and outcomes.
  • Disease Management: Provides stakeholders with a transparent and data-driven solution that promotes collaboration and has a clearly identifiable ROI. User-configurable templates for various chronic diseases make this an ideal solution for rapid deployment.
  • Health Risk Assessment: Can be delivered on a hand-held device anywhere and at any time. It captures beneficiary-supplied health information, which is an important step in improving quality scores. User-configurable templates for various assessments make this an ideal solution for rapid deployment.