About Advantage ACO
Advantage Accountable Care Organization (ACO) is a team of leading independent primary care physicians, group practices, and FQHC providers who deliver exceptional patient care. Together, we work towards providing high-quality, coordinated primary care to Medicare populations and minimizing costs for patients, providers, and the healthcare system.
Our Proven Model
We deploy a hands-on approach to enabling change and driving success in value-based care. Our team works as an extension of your staff to improve patient care and identify cost centers.
We strengthen the provider and payer partnership, meeting practices where they are in their journey to value-based care, while maintaining a commitment to practice autonomy.
We Know Value-Based Care
We have a 25+ year track-record maximizing clinical and financial performance in value-based care programs for primary care providers, including MSSP ACOs.
Creating wins for both Medicare and delivery systems. We move costs down and quality up with double digit improvements for both large and small practices.
Practices in Alabama, Florida, Indiana, Kentucky, Michigan, Ohio, and Tennessee have an opportunity to reinvest additional revenue earned through the Medicare Shared Savings Program. Examples of how practices benefit from this revenue source include:
- Improvements or upgrades to technology systems and equipment
- Increases in staff pay to support employee retention and satisfaction
- Rewarding providers for their dedication to exceptional care
- Investments in marketing to grow their patient panel
Our mission is to help providers ensure patients receive the right care at the right time, while preventing common contributors to excess costs including coding errors, undercoding, and duplication of services. We are passionate about improving quality and reducing the cost of care while maximizing reimbursements for greater shared savings. We believe physicians deserve to be rewarded for their exceptional service without fear of penalties, which is why Advantage ACO is dedicated to covering all downside risk and potential penalties.
Advantage ACO consultants work directly with physicians to monitor and improve performance in areas that influence cost and quality measures determined by Centers for Medicare and Medicaid Services (CMS). We facilitate collaboration and continuity of care, optimize documentation, train on billing and coding, promote annual wellness visits and endorse advance care planning. Additionally, our simplified analytics and reporting enhance patient outcomes, eliminate unnecessary cost, and boost reimbursement for services rendered by our dedicated member physicians.
What Is an Accountable Care Organization (ACO)?
An Accountable Care Organization (ACO) is a group of doctors, hospitals, and other healthcare providers, who choose to join together to give coordinated high-quality care to their Medicare patients. Reimbursements and shared savings for an ACO are dependent upon key quality metrics and reductions in the cost of care.
What is the Medicare Shared Savings Program (MSSP)?
The Medicare Shared Savings Program (MSSP) is designed to improve individual and population health, while managing cost of care. This alternative payment model from CMS prioritizes outcomes and value to patients, rather than volume. Primary care and specialty practices, as well as hospitals, skilled nursing facilities, and other providers are incentivized to deliver coordinated care to Medicare beneficiaries in their patient panel.
Why Should You Join An ACO?
When a Medicare Shared Savings Program (MSSP) Accountable Care Organization delivers high-quality care at a reduced cost, shared savings rewards will be distributed to member physicians. Not only can participation in the Advantage ACO enhance reimbursement opportunities for care delivered to Medicare patients, our interventions are designed to drive practice-wide transformations that improve reimbursement from commercial payers as well.
What CMS Penalties Could I Face?
In addition to rewards in the form of shared savings for high-performing ACOs, CMS can apply penalties to poor performers. However, with the Advantage ACO, physicians need not fear these penalties. Not only will our team provide our highest level of support services to boost performance and mitigate risk, but should penalties be incurred to the ACO, Advantage ACO assumes all responsibility for payment of these penalties.