Focus on Population Health CDI
Generates ACO Shared Savings
James P. Fee, MD, CCS, CCDS; Sonia Trepina, MPA; Jennifer Boles, CPC, CRC; and Joel Sparks, PMP
Why do the majority of ACOs fail to realize shared savings payments?
To answer this question, an ACO must examine whether its costs make sense given the severity of its attributed patient population. When costs remain high despite robust reduction strategies, perhaps costs aren’t the problem. The real problem could be the way in which providers document the patient story. Costs typically correlate with chronic disease burden and disease interactions. Does physician documentation portray this risk? Oftentimes not.
This is where population health clinical documentation improvement (CDI) can help.