As healthcare providers acclimate to new value-based payment models, they face the two-pronged challenge of achieving better outcomes while reining in costs. Providers face increasing pressure to shore up funds to support new quality payment program initiatives and offset potential revenue losses and are looking toward data analytics solutions to identify savings and clinical improvement opportunities with the biggest potential to improve the revenue cycle.
The benefits that can be gleaned from such an approach are exemplified by the experience of Allegiance ACO, an accountable care organization affiliated with Allegiance Health Group in New Jersey and Pennsylvania. Allegiance turned to data integration and analytics to uncover patient care delivery and utilization trends as it worked to build an effective population health management strategy.
The physician-led ACO, which provides services to economically disadvantaged patients in and around Trenton, N.J., used analytics to stratify patient risk, identify opportunities for resource reallocation, and empower data-driven patient care intervention to reduce non-acute emergency department (ED) utilization and inpatient admissions among its patient population.