#United States #Dallas #Lightbeam Health #Wakely Consulting #ACO tools

ACO Optimization Toolkit: A New Era in Value-Based Care

Lightbeam Health Solutions, a leader in population health technology, has recently teamed up with Wakely Consulting Group to develop groundbreaking tools designed to enhance the performance of Accountable Care Organizations (ACOs). This partnership is poised to help healthcare leaders navigate the complexities of value-based care through innovative solutions that capitalize on predictive analytics and actuarial insights.

The Collaboration: What It Entails

The newly-launched tools, named ACO Optimization Retrosight (AOR) and ACO Optimization Futuresight (AOF), are geared towards risk-bearing ACOs that manage intricate healthcare networks. By integrating Lightbeam's robust analytics platform with Wakely's extensive actuarial expertise, the collaboration aims to provide organizations with the means to benchmark their performance and identify key opportunities for enhancement.

AOR: Benchmarking Performance

With the ACO Optimization Retrosight, organizations can assess their current performance metrics against established benchmarks. The insights garnered from AOR will allow healthcare leaders to pinpoint areas that require attention, facilitating strategic improvements that drive better patient outcomes and financial results.

AOF: Predictive Forecasting

The ACO Optimization Futuresight tool offers a customizable approach to forecasting. It enables organizations to model future scenarios by considering various factors such as provider network configurations, attribution methods, assumptions about risk, and relevant rules from the Centers for Medicare & Medicaid Services (CMS). This predictive ability equips executives with the knowledge to make more informed strategic decisions, ultimately leading to improved cost and risk outcomes.

A Transformative Approach to Value-Based Care

Patrick Burton, Senior Vice President of Business Development at Lightbeam, emphasized the significance of the partnership, stating, "ACOs looking to improve in the future can't afford to rely solely on lagging indicators. This partnership with Wakely equips organizations with predictive insights to model scenarios, strengthen network performance, and proactively shape their financial and clinical outcomes." This forward-thinking approach encapsulates a significant shift in the mindset required to thrive in value-based care environments.

Piloting Success and Tangible Impact

Preliminary results from organizations that have piloted the AOR and AOF tools indicate substantial benefits. Many organizations have already recognized millions in increased value by identifying network inefficiencies and aligning their practices with high-performance benchmarks. Both tools are currently accessible to participants in the Medicare Shared Savings Program (MSSP) and the ACO Realizing Equity, Access, and Community Health (REACH) model.

This initiative represents a pivotal step in advancing the future of value-based care, as healthcare organizations are increasingly seeking tools to deliver improved patient care while managing costs. The collaboration between Lightbeam Health and Wakely Consulting Group showcases an innovative model designed to support ACO leaders in achieving their strategic objectives.

About the Partners

Lightbeam Health Solutions is recognized as a leader in providing AI-driven population health management solutions. Their platform not only enhances data-driven decision-making but also supports healthcare organizations in orchestrating care effectively while reclaiming success across diverse value-based arrangements.

Wakely Consulting Group, founded in 1999, specializes in healthcare actuarial consulting, offering deep insights into matters such as Medicare Advantage and Medicaid managed care. Known for its strategic approach to rate setting and market analysis, Wakely collaborates with various stakeholders in the healthcare system to deliver comprehensive solutions.

For additional insights into how Lightbeam's innovative solutions fit into the healthcare landscape, explore their ongoing discussions within the "Voices of Value" series on their website.

For more information regarding these new tools, visit Lightbeam Health Solutions and Wakely Consulting Group.