Case Study
Integrating Data and Analytics into Provider Workflow Improves ACO Performance
Copyright © 2018 Health Catalyst 1 Integrating Data and Analytics into Provider Workflow Improves ACO Performance Success Story EXECUTIVE SUMMARY Reimbursement rates for an Accountable Care Organization (ACO) are based on the quality composite score from the Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO), examining best practice preventative care and primary care measures. As a result, ACO participants may receive payment adjustments based on their quality composite performance. U.S. Medical Management (USMM), a leading provider of home- based primary care services for complex patient populations and managed care clients, also operates a multi-state Medicare Shared Savings Program (MSSP) ACO serving over 23,000 complex or fragile Medicare patien