[{"innerBlocks":[],"name":"core\/freeform","postId":960,"blockType":{"name":"core\/freeform","keywords":[],"attributes":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"providesContext":[],"usesContext":[],"selectors":[],"supports":{"className":false,"customClassName":false,"reusable":false},"styles":[],"variations":[],"apiVersion":3,"title":"Classic","description":"Use the classic WordPress editor.","category":"text"},"originalContent":"Three healthcare organizations and a consultancy have teamed to offer a platform designed to help providers better understand how they are performing against their care delivery and cost goals.

The Analytics for Risk Contracting (ARC)<\/a> software, which leverages proprietary algorithms for financial modeling, is a joint venture between Adventist Health, COPE Health Solutions, Heritage Provider Network and Montefiore Health System.

\u201cNot understanding the actual total cost of care, in detail, is a huge obstacle to moving U.S. healthcare to value-based care and risk-based payments,\u201d says Yomi Ajao, senior vice president of population health management consultancy COPE Health, who led the development of the ARC software and is president of the joint venture.

\u201cThe tremendous promise of value-based care won\u2019t be realized unless providers can see their way forward to accepting more reimbursements tied to cost and quality goals. ARC solves this fundamental problem,\u201d Ajao adds.

Also See<\/b>: Multiple EHRs, lack of interoperability hamper Next Generation ACOs<\/a>

According to the developers, the ARC software enables providers to calculate their actual care costs and gain insights into the net financial effects of specific care improvement efforts as well as population health management and other quality initiatives.

Specifically, the analytics tool aggregates data from numerous sources across the continuum of care and populations\u2014such as claims, pharmaceutical, provider financials, and national, regional and network benchmarks\u2014and identifies problems or variations within populations, service lines, clinicians or locations, such as avoidable utilization.

\u201cWithin two weeks of using ARC, we identified several large opportunities for improvement,\u201d says John Beaman, chief business officer at Adventist Health, a faith-based, nonprofit integrated healthcare system serving more than 80 communities on the West Coast and Hawaii. \u201cWe prioritized the most pressing ones and have begun the process to revise hospital contracts to generate annual savings going forward.\u201d

\u201cUsing its years of population health management experience and ARC, Montefiore\u2019s Care Management Company found opportunities to reduce single-day admissions, admissions for end-stage renal disease, improve in-network referral and reduce overall cost of specialty care,\u201d says Stephen Rosenthal, president of Care Management Company, a subsidiary of Montefiore, which administers comprehensive care to nearly 500,000 Medicare and Medicaid beneficiaries as well as members of commercial health plans.

Adventist and Montefiore, strategic partners with COPE in developing and using the cloud-native ARC tool, have teamed with Heritage Provider Network to form a subsidiary of COPE to make the tool available as a software-as-a-service platform.

\u201cARC software is a breakthrough for advancing value-based care,\u201d says Richard Merkin, MD, CEO of Heritage Provider Network, the country\u2019s largest physician-founded global risk-managed organization. \u201cIt gives physicians, health systems and other providers the ability to transform their health plan contracting from volume to value. We continue to see CMS\u2019 movement away from fee-for-service, most recently through the newly announced Direct Contracting Payment Models, and ARC can help medical groups, IPAs, ACOs and others considering these demonstrations.\u201d","saveContent":"Three healthcare organizations and a consultancy have teamed to offer a platform designed to help providers better understand how they are performing against their care delivery and cost goals.

The Analytics for Risk Contracting (ARC)<\/a> software, which leverages proprietary algorithms for financial modeling, is a joint venture between Adventist Health, COPE Health Solutions, Heritage Provider Network and Montefiore Health System.

\u201cNot understanding the actual total cost of care, in detail, is a huge obstacle to moving U.S. healthcare to value-based care and risk-based payments,\u201d says Yomi Ajao, senior vice president of population health management consultancy COPE Health, who led the development of the ARC software and is president of the joint venture.

\u201cThe tremendous promise of value-based care won\u2019t be realized unless providers can see their way forward to accepting more reimbursements tied to cost and quality goals. ARC solves this fundamental problem,\u201d Ajao adds.

Also See<\/b>: Multiple EHRs, lack of interoperability hamper Next Generation ACOs<\/a>

According to the developers, the ARC software enables providers to calculate their actual care costs and gain insights into the net financial effects of specific care improvement efforts as well as population health management and other quality initiatives.

Specifically, the analytics tool aggregates data from numerous sources across the continuum of care and populations\u2014such as claims, pharmaceutical, provider financials, and national, regional and network benchmarks\u2014and identifies problems or variations within populations, service lines, clinicians or locations, such as avoidable utilization.

\u201cWithin two weeks of using ARC, we identified several large opportunities for improvement,\u201d says John Beaman, chief business officer at Adventist Health, a faith-based, nonprofit integrated healthcare system serving more than 80 communities on the West Coast and Hawaii. \u201cWe prioritized the most pressing ones and have begun the process to revise hospital contracts to generate annual savings going forward.\u201d

\u201cUsing its years of population health management experience and ARC, Montefiore\u2019s Care Management Company found opportunities to reduce single-day admissions, admissions for end-stage renal disease, improve in-network referral and reduce overall cost of specialty care,\u201d says Stephen Rosenthal, president of Care Management Company, a subsidiary of Montefiore, which administers comprehensive care to nearly 500,000 Medicare and Medicaid beneficiaries as well as members of commercial health plans.

Adventist and Montefiore, strategic partners with COPE in developing and using the cloud-native ARC tool, have teamed with Heritage Provider Network to form a subsidiary of COPE to make the tool available as a software-as-a-service platform.

\u201cARC software is a breakthrough for advancing value-based care,\u201d says Richard Merkin, MD, CEO of Heritage Provider Network, the country\u2019s largest physician-founded global risk-managed organization. \u201cIt gives physicians, health systems and other providers the ability to transform their health plan contracting from volume to value. We continue to see CMS\u2019 movement away from fee-for-service, most recently through the newly announced Direct Contracting Payment Models, and ARC can help medical groups, IPAs, ACOs and others considering these demonstrations.\u201d","order":0,"get_parent":{},"attributes":[],"attributesType":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"dynamicContent":""}]

Analytics touted as solution for achieving value-based care

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