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Personalized solutions

Our tools and services support you at every step in value-based care.

Our approach

Our partner success team, comprised of industry experts, is committed to working alongside you, offering a broad suite of customized solutions.
Our consultative process allows us to tailor our services to align seamlessly with your goals, fostering a dynamic and effective partnership.

Our provider and patient-centric solutions are tailored to your specific needs

Practice Transformation

Our multi-disciplinary team of executives, clinical leaders, subject matter experts, actuaries, health economists, researchers, data scientists and data analysts are focused on your success in value-based care including:

  • Curated Roadmaps: Tailored strategic and practice level roadmap development, execution, and ongoing performance monitoring. Leverage expansive actuarial resources and ACO program offerings to position provider in the best ACO model possible on an annual basis.
  • Ongoing Education: Best practices, workflow implementation, in-person trainings, peer-to-peer learning, networking, and clinical education (CE) credit opportunities.
  • Practice Support: Accurate clinical documentation, EHR optimization, post-acute care network consultation and more.

Clinical Programs

We offer customized clinical programs designed to meet your unique needs and complement your existing workflows and resources.

  • Data Integration: Utilizing risk stratification, we can identify high and rising risk patients for prioritized engagement
  • Longitudinal Care Management: Connecting high-risk & chronic condition patients with the care they need to prevent avoidable ED utilization and re-admissions
  • Care Coordination: Including transitions of care and post-acute management with timely follow-ups
  • Community Support: Wrap around services to support medication management and social needs

Administrative Support

Alleviating administrative burden and creating capacity in your practices

  • Partner Success Leader who collaborate closely on holistic performance reviews to identify opportunities for continuous improvement via practice transformation initiatives
  • Clinical Documentation Improvement support to aid in accurate clinical documentation with prospective, concurrent and retrospect chart reviews continuous staff education
  • Scheduling Assistance to alleviate workload on your nursing and practice staff to enable them to focus on patient care and work at the highest level of their license
  • Compliance Support to enable your success with compliance support on CMS program expectations, the completion of CMS accoutable care program applications, administration of quality program reporting and facilitating quarterly ACO board meetings

Technology and Analytics

Providing a broad view of your population’s needs through the analysis of diverse data from varying sources, that seamlessly integrates through interoperability solutions that work with your existing clinical workflows

  • Diverse Data Collection: Collect data from varying sources - medical claims, pharmaceutical claims and medication compliance data - to get a fuller picture of the beneficiary's health.
  • Risk Analysis: Use a set of industry leading tools for risk analysis that incorporate social determinants of health (SDoH) in our methodology, leveraging 17-20 unique markers that roll up to 5 different SDoH subgroups.
  • Insights and Action Plans: Identify potential, concurrent, and emerging risk factors for actionable insights that inform collaboration on personalized beneficiary interventions.
  • Performance Reporting: Leverage expansive actuarial models and resources to provide monthly financial reports and clinical savings model performance.

#1 National leader in total ACO Medicare FFS managed lives

Unrivaled scale in value-based care

  • $ 12 B
    Spend under management
  • 70 K+
    ACO provider partners
  • 230 +
    ACO Clients
  • 1 M
    Medicare ACO beneficiaries

Explore how CVS Accountable Care
is right for you

Discover how our tailored solutions can enhance your journey in value-based care.