You want to deliver the best possible care for your patients. That’s our goal, too. Aledade offers primary care providers access to cutting-edge data analytics, user-friendly guided workflows, unparalleled regulatory expertise, strong payer relationships, and local, hands-on support from attentive experts. Our goal is to make it simple for your primary care practice or community health center to participate in value-based care while improving outcomes for patients and supporting a cost-effective, high-value healthcare system for your community.
Independent primary care providers and community health centers who want to participate in the Medicare Shared Savings Program, other government programs, or available commercial contracts can join an Aledade accountable care organization (ACO) with other healthcare providers in their region.
Our team has simplified the complex goal of generating ACO savings by focusing on the Core 4 initiatives that further our population health goals and have savings potential. These Core 4 represent the top priorities for ACO work. Practices and ACOs that excel in these four competencies tend to have positive health outcomes and achieve savings.
The four initiatives include:
Access & Prevention
Annual Wellness Visits (AWVs) focus on preventive care and long term needs, topics that may be missed during other visits. The Aledade App is integrated with tools that enable a thorough assessment of patient risk factors while also promoting discussion on wellness education and advance care planning.
Emergency Room Follow-Up
ED visit follow-up is a primary care service that involves calling patients soon after an Emergency Department visit to address health needs, coordinate care, and schedule follow-up medical services. Aledade integrates hospital and claims data into the Aledade App for timely identification of recent ED patients. The Emergency worklist in the App provides a list of patients who had a recent ED visit and an ED survey to guide practice outreach calls.
Post Hospital Care
It takes 7 high priority Transitional Care (TCM) visits to avoid 1 readmission. By providing easy-to-use post-discharge workflows, Aledade enables physicians to continue persistent follow-up aimed at reducing avoidable readmissions for patients transitioning from an inpatient setting.
Quality and Risk Gaps
By providing documentation and communication of ICD-10 codes that describe your patients' illness burden and contribute to their risk score, physicians can easily identify care quality and risk gaps across their patient population within the Aledade App. Aledade providers who preview risk suggestions are 2 to 3 times more likely to capture risk adjustment opportunities during the patient’s visit.
Healthcare providers won’t be able to rely on traditional revenue models forever. The Centers for Medicare and Medicaid Services (CMS) and many commercial payers are using numerous financial levers to put pressure on providers to improve quality and reduce costs.
Aledade helps turn those pressures into clear and attainable opportunities to deliver better care, strengthen relationships with your patients, and secure long-term sustainability for your practice.
Aledade is designed to help practices of all sizes and types thrive in the value-based care environment. Learn more about our different partners and how our customized services can help your organization make the transition to value-based care.
If you are interested in learning more about how Aledade can help your practice in the new healthcare economy, schedule a call with us and we will provide you a free customized opportunity analysis to help you understand the benefits of joining an Aledade ACO.