Recent healthcare reform legislation in the US has introduced a number of changes geared towards reducing costs, improving access, and enhancing quality of care.
One of the first changes to take effect was a new model for delivering care: The Accountable Care Organization (ACO). They are made up of disparate providers hospitals, PCPs, specialists, etc.) who group together to take end-to-end responsibility for a patient’s care. In order to encourage positive outcomes, ACOs generally share risk for patient costs and are paid based on quality, care, and good outcomes, not just the volume of services delivered.
In order to receive their rewards for quality, providers will need to perform their own analytics, making sure that they are meeting their targets and doing the right things to achieve the required outcomes.
Payers will also need to use complex analytics to measure outcomes so they can reward providers for keeping patients healthy