The Problem
Optimus Healthcare Partners has been a top performer in the Medicare Shared Savings Program (MSSP) for over 12 years. Despite their success, they faced mounting operational challenges:
- The manual EHR reviews were overwhelming physicians
- Quality measures were falling through the cracks
- Critical patient diagnoses weren't getting documented with the precision that value-based care demands
For an ACO managing 500,000 lives across 120+ different EMR systems, these inefficiencies were threatening to undermine years of hard work, and potentially cost them millions in revenue.
The Solution
To solve this, Optimus partnered with Innovaccer to bring clinical insights directly into the point of care. By embedding quality gap alerts into daily workflows and connecting data from 100+ EMRs through a centralized warehouse, physicians could access the patient’s medical history with just a few clicks.
The Results
The case study spots light on the improvements Optimus achieved with Innovacer in a span of two years, including:
- Increased projected performance value
- More quality gaps closed during visits
- Boost in HCC documentation accuracy for MSSP patients
- 30 minutes saved per day for physicians
Innovaccer's AI solutions helped Optimus turn a fragmented data environment into a competitive strength without investing in a tech overhaul, all while improving care coordination and easing the documentation burden on frontline providers.
