In July 2012, Mercy ACO became a recognized Accountable Care Organization under the Medicare Shared Savings Program. With the program’s focus of improved quality of care and increased patient value, the shared savings program was logical next step in the evolution of Mercy’s health care model. The Medicare Shared Savings Program further aligns incentives to providing quality health care, increased patient satisfaction and lower cost for this patient population.
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The Mercy ACO Board of Managers has approved the following arrangements as reasonably related to the purposes of the Medicare Shared Savings program.
- McKesson Population Manager and Risk Manager. These are data registries to track billing and clinical information of Mercy ACO beneficiaries. They allow Mercy ACO to identify high risk patients and monitor performance of ACO participants. Mercy ACO will provide these systems to Mercy ACO participants. Mercy ACO will also provide support to integrate data from participant systems to the ACO registry. This includes the development of computer interfaces. Approved by the Mercy ACO BOM on Sept. 10, 2014.
- Triple Aim Values Health (TAV Health) care management software. This IT system is used to standardize, document, and track care management interventions. Mercy ACO provides TAV Health to ACO participants. Approved by the Mercy ACO BOM on Sept. 10, 2014.
- Health Coaches. Health coaches proactively intervene with ACO beneficiaries to help them change health behaviors. Mercy ACO provides Health Coaches to certain ACO participants. Approved by the Mercy ACO BOM on Sept. 10, 2014.