How Houston Methodist is Cracking the Code on HCC

Houston Methodist Coordinated Care Medicare ACO is #1 in savings per patient for Academic Medical Centers, 98th percentile in total earned savings, and 98th percentile in quality nationally. One of their leaders, Wajiha Waheed, Director of Finance and Operations, joined us to discuss HCC recapture tools and change management innovations with Emily Hightower, MSN, Manager […]
Hidden in Plain Sight – The Cost of ACO Leakage

By Josh Gray and Maria Monahan Many major hospital and health systems have launched Accountable Care Organizations (ACOs) through Medicare’s Shared Savings Programs (MSSP). Leakage – patients receiving care from competing hospitals or specialists – can be a substantial challenge for health system-affiliated ACOs. Out-of-network visits limit an ACO’s visibility, making both cost control and care coordination […]