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VHQC Partners with Aledade to Create Physician-led Accountable Care Organization in Virginia

August 24, 2015

VHQC, a nonprofit health quality consulting company, has partnered with Aledade, Inc. to create a physician-led Accountable Care Organization (ACO) in Virginia. Through this ACO model, independent physicians join a partnership that empowers primary care doctors, boosts the quality of care to patients, and lowers healthcare costs.

The ACO in Virginia will be led by high-performing primary care physicians across the state with data and analytic services provided by Aledade and technical support to the practices provided by VHQC. “This is a natural extension of our work as one of the nation’s leading Health IT Regional Extension Centers,” said VHQC President and CEO Donald A. Glozer, MHA, FACHE. “Now physicians who want to remain independent can capture the value they create through improved care coordination, chronic disease management and prevention.”

Aledade, which has raised $30 million in Series B funding, announced last week that it has applied to the Centers for Medicare & Medicaid Services (CMS) to establish new ACOs in seven states, including Virginia, beginning Jan. 1, 2016. Primary care practices that join the ACO will be guaranteed a full 60 percent of any revenues earned by the ACO, and will not be liable for any operational costs.

On-site support will be provided, at no charge, to practices that are selected as part of the ACO – including advanced electronic health record (EHR) optimization, outreach to high-risk patients, and help attesting to the requirements of the Meaningful Use and PQRS programs. Participation in the ACO will qualify practices for reimbursement bonuses as part of Medicare’s Advanced Payment Model program.

VHQC will begin working with ACO members immediately to implement and support initiatives like increasing annual wellness visits, and identifying and managing patients with multiple chronic conditions. VHQC’s services will include:

  • Coordinating weekly practice calls, monthly clinical calls and practice site visits
  • Performing practice workflow assessments and assisting in restructuring inefficient workflows to support ACO best practices
  • Building a team-based care model for each practice
  • Implementing Aledade ACO initiatives
  • Training and assisting providers to use the Aledade technology platform
  • Providing technical support to optimize existing EHR/practice management systems
  • Identifying potential risks and barriers to success
  • Documenting weekly practice data and key performance indicators
  • Identifying local solutions and community resources

Aledade’s ACO model allows a practice to stay independent from health systems and will offer population health management tools to assist in connecting with and managing their patient panels. These tools strengthen outreach to patients, provide notifications when a patient is admitted, discharged or transferred to or from other facilities, and provide other methods to monitor costs and quality that directly impact CMS’ physician value modifier and ACO metrics.

About Aledade
Founded in 2014, Aledade partners with independent, primary care physicians to provide tools for creating and running ACOs and other value-based care arrangements – from business and practice transformation services to up-front capital and cutting-edge technology. The company is led by CEO and co-founder Dr. Farzad Mostashari, former National Coordinator for Health Information Technology at the U.S. Department of Health and Human Services. For more, visit: www.aledade.com or follow on Twitter at @AledadeACO.

About VHQC
For more than 30 years, VHQC has been leading the way to better healthcare for providers and other clients by offering expertise in quality improvement, utilization management, analytic services and health information technology support that improves patient outcomes — and often results in cost savings. VHQC’s major contracts include work as the Medicare Quality Innovation Network – Quality Improvement Organization for Maryland and Virginia and the Health IT Regional Extension Center for Virginia. For more information, please visit www.hqi.solutions.

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