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For a long time, healthcare insurance companies used to overlook people who were likely to be high-cost. As the landscape changed with new regulations, insurance providers have started offering new policies in the individual market without identifying any pre-existing conditions while enquiring about their health status. Even so, there have been many loopholes, and every administration has and continues to aim at minimizing these gaps. The One good answer thus far: risk adjustment.

Today, while moving from a fee-for-service structure to a value-based ecosystem, healthcare organizations find themselves managing fragmented patient care in a disjointed care network. Although the changes in the healthcare payment model and remarkable innovations in the field of healthcare technology have been prompting healthcare executives to change the way they approach outcomes, the journey to data-driven health outcomes is a long one.

Amid new payment models, upcoming technologies on a daily basis, and looming uncertainties in immediate future, ACOs find themselves dealing with some challenge or the other frequently. The idea behind bringing ACOs to the frontlines was to achieve high-quality patient care, bend the cost curve, and deliver better health outcomes across populations. At times like this, it’s paramount ACOs find solutions to counter the challenges coming their way:

The world of healthcare analytics is vast and can encompass a wide range of data that has the incredible potential to tell stories about health and healthcare delivery: right from individual patients to entire populations. Having numbers and an easy-to-use visualization at hand gives providers and caregivers the power not only to track the ongoing activities in their organizations. Simply showing visualizations are not enough and to fully understand their value, healthcare organizations have to take a few steps beyond basic graphs.

Race, gender, socioeconomic status have been known to affect a person’s health, access to care, costs incurred, and the outcomes. The defining conditions of how we live, learn, work, and play not only influences our health but goes on to define and impact an entire community’s health.

Amid the transition to value-based care, reimbursement for health care and tying it to quality and performance remains one of the major challenges in eradicating fee-for service models. According to a survey, only 41% of the physicians still placed their confidence in fee-for-service model for delivering patient outcomes.