Engaging Physicians to Enhance Cost & Quality Outcomes

An ACO with over 165 physicians based in the Western US had more than 50,000 Medicare lives and 110,000 commercial lives attributed to them on 5+ value-based contracts. The patient data was distributed across 6 different brands of EHRs at more than 24 practices along with labs, pharmacies, and claims. The ACO, at first, needed to improve their PMPM savings across a major commercial contract with 13,000 patients.

Results

With InNote, the ACO was able to generate $2 savings per member per month against their benchmark of $251.76. The organization was able to obtain:

• $1.4m generated in shared savings
• $17.7 savings generated per member per month, dropping expenditure from $249.76 to $222.47 by addressing care gaps and improving in-network activity
• 15% of care gaps plugged within the first 3 months