The National Association of ACOs and the Association of Academic Medical Colleges contracted Validate Health to perform the most comprehensive study on provider risk published to date. The combined clinical and actuarial perspective is unique and necessary to guide success under clinically and financially integrated reimbursement models. Highlights from the study include:
A summary of care management approaches followed top-performing ACOs, data sources commonly used and industry-wide challenges
17 detailed profiles of top-performing ACOs across the nation
- A scientific literature search and selected article summaries illustrating best practices in risk identification and management
- A 50-point operational checklist that can be used for constructing an RFP for IT vendors or assessing internal IT departments
The study can be accessed here: https://www.aamc.org/download/470456/data/riskid.pdf
The Forcasting Engine contains the software embodiment of the results of the study. It includes an out-of-the-box risk model for patient risk prediction and combined clinical and actuarial financial opportunity analysis.