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2013 Benchmarks in
Accountable Care
Brought to you by the
Healthcare Intelligence Network
www.hin.com
ACO Benchmark Data
- As the number of public and private accountable care
organizations (ACOs) nears 500, participants and pundits alike are
looking more closely at the ACO model's structure, challenges and
benefits.
- The Healthcare Intelligence Network’s third annual accountable
care survey gathered responses from 138 healthcare companies,
including ACO program components, results and ROI, and the
greatest successes achieved by ACOs in respondents' own words.
- This presentation contains highlights from those responses.
© Copyright 2013 Healthcare Intelligence Network
2
ACO Benchmark Data
- Figure 1 - ACO Participation
- Figure 2 - ACO Administration
- Figure 3 - ACO Components
- Figure 4 - Metrics to Measure ACO Success
- In Respondents’ Own Words
- Sources
- For More Information
© Copyright 2013 Healthcare Intelligence Network
3
- 34 percent of organizations participate in an ACO.
- The numbers of existing and planned ACOs continue to rise from 2012 to 2013.
© Copyright 2013 Healthcare Intelligence Network
4
- The number of ACOs led by a physician-hospital organization (PHO) nearly
doubled over the last year.
- Almost one in three ACOs is PHO-led (28 percent).
© Copyright 2013 Healthcare Intelligence Network
5
- Transition management (90%), evidence-based care (90%), case management
(86%) and electronic health records (86%) are the most commonly reported
components of respondent ACOs.
- About 62 percent of ACOs offer a patient portal to its membership, a new metric
identified by the 2013 survey.
© Copyright 2013 Healthcare Intelligence Network
6
- Clinical outcomes, still the most critical measure of ACO success in 2013, rose
slightly in importance to this year’s respondents — from 85 percent in 2012 to 88
percent this year.
© Copyright 2013 Healthcare Intelligence Network
7
In Respondents’ Own Words
Greatest Successes Achieved by ACOs:
- “Decreased hospital readmissions; decreased cost of the
beneficiaries.”
- “Improved performance to 90th+ percentile HEDIS® on several
metrics, reduction of ED visits/costs and implementation of
embedded care management programs.”
- “Since integrating embedded case management with the ACO, we
have cut our 30-day readmissions at our hospital by 50 percent.”
© Copyright 2013 Healthcare Intelligence Network
8
Sources
- See 2013 Healthcare Benchmarks: Accountable Care
Organizations, available at store.hin.com
- Responses and data were derived from HIN’s third annual
industry survey on ACOs conducted in August 2013
© Copyright 2013 Healthcare Intelligence Network
9
For More Information
- Visit www.hin.com
- Call (888) 446-3530
- Follow @H_I_N on Twitter
- Like us on Facebook:
www.facebook.com/TheHealthcareIntelligenceNetwork
- Connect with us on LinkedIn:
www.linkedin.com/company/healthcare-intelligence-network
© Copyright 2013 Healthcare Intelligence Network
10

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2013 Benchmarks in Accountable Care

  • 1. 2013 Benchmarks in Accountable Care Brought to you by the Healthcare Intelligence Network www.hin.com
  • 2. ACO Benchmark Data - As the number of public and private accountable care organizations (ACOs) nears 500, participants and pundits alike are looking more closely at the ACO model's structure, challenges and benefits. - The Healthcare Intelligence Network’s third annual accountable care survey gathered responses from 138 healthcare companies, including ACO program components, results and ROI, and the greatest successes achieved by ACOs in respondents' own words. - This presentation contains highlights from those responses. © Copyright 2013 Healthcare Intelligence Network 2
  • 3. ACO Benchmark Data - Figure 1 - ACO Participation - Figure 2 - ACO Administration - Figure 3 - ACO Components - Figure 4 - Metrics to Measure ACO Success - In Respondents’ Own Words - Sources - For More Information © Copyright 2013 Healthcare Intelligence Network 3
  • 4. - 34 percent of organizations participate in an ACO. - The numbers of existing and planned ACOs continue to rise from 2012 to 2013. © Copyright 2013 Healthcare Intelligence Network 4
  • 5. - The number of ACOs led by a physician-hospital organization (PHO) nearly doubled over the last year. - Almost one in three ACOs is PHO-led (28 percent). © Copyright 2013 Healthcare Intelligence Network 5
  • 6. - Transition management (90%), evidence-based care (90%), case management (86%) and electronic health records (86%) are the most commonly reported components of respondent ACOs. - About 62 percent of ACOs offer a patient portal to its membership, a new metric identified by the 2013 survey. © Copyright 2013 Healthcare Intelligence Network 6
  • 7. - Clinical outcomes, still the most critical measure of ACO success in 2013, rose slightly in importance to this year’s respondents — from 85 percent in 2012 to 88 percent this year. © Copyright 2013 Healthcare Intelligence Network 7
  • 8. In Respondents’ Own Words Greatest Successes Achieved by ACOs: - “Decreased hospital readmissions; decreased cost of the beneficiaries.” - “Improved performance to 90th+ percentile HEDIS® on several metrics, reduction of ED visits/costs and implementation of embedded care management programs.” - “Since integrating embedded case management with the ACO, we have cut our 30-day readmissions at our hospital by 50 percent.” © Copyright 2013 Healthcare Intelligence Network 8
  • 9. Sources - See 2013 Healthcare Benchmarks: Accountable Care Organizations, available at store.hin.com - Responses and data were derived from HIN’s third annual industry survey on ACOs conducted in August 2013 © Copyright 2013 Healthcare Intelligence Network 9
  • 10. For More Information - Visit www.hin.com - Call (888) 446-3530 - Follow @H_I_N on Twitter - Like us on Facebook: www.facebook.com/TheHealthcareIntelligenceNetwork - Connect with us on LinkedIn: www.linkedin.com/company/healthcare-intelligence-network © Copyright 2013 Healthcare Intelligence Network 10