Accountable care organization metrics, which have been developed by Medicare, commercial payors and the National Committee for Quality Assurance, can be divided into six main categories, according to a new MedeAnalytics research report.
The six categories are:
• Pediatric
• Ambulatory
• Prevention
• Acute care
• Outcomes
• Utilization of services
While popular ACO metrics can be put in these six categories, the main metric focus is different from payor to payor. For example, commercial ACOs are more focused on cost reduction and ambulatory processes while their Medicare counterparts focus on quality outcomes, according to the report.
This is the first time the metrics used by commercial and Medicare ACOs and NCQA ACO accreditation have been analyzed together, according to MedeAnalytics.
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The six categories are:
• Pediatric
• Ambulatory
• Prevention
• Acute care
• Outcomes
• Utilization of services
While popular ACO metrics can be put in these six categories, the main metric focus is different from payor to payor. For example, commercial ACOs are more focused on cost reduction and ambulatory processes while their Medicare counterparts focus on quality outcomes, according to the report.
This is the first time the metrics used by commercial and Medicare ACOs and NCQA ACO accreditation have been analyzed together, according to MedeAnalytics.
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