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Clinic Transformation KPIs to 

Optimize Value-Based Care Payment Incentives

01.

Quality Measures

Clinic KPI of 75 to 90% quality measure performance rate.

02.

HCC Coding

Clinic KPI of 70-85% HCC Diagnosis Recapture Rate.

We assist value-based care organizations in optimizing payment incentives.

03.

High-Value AWV

Clinic KPI of 70-85% High-Value Annual Wellness Visit (AWV) completion factor,

04.

Targeted Cost Reduction

Identify 1 to 3 high-cast encounter types for cost reduction.

05.

Renegotiate

VBC Incentive Payments with MA Plans.

Clinic Transformation Services

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Call to Action!

7 out of 8 ACOs are NOT documenting patient HCC diagnoses from year-to-year resulting in benchmark leakage or the loss in value to the risk score and financial benchmark.

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