This white paper is available to OPEN MINDS readers free of charge, courtesy of Alera Health. The white paper, “Beyond The ACO: Building An Integrated System of Care (ISC) To Maximize Value-Based Performance” provides an overview of key elements in an ISC – and the value proposition for payers and behavioral health provider organizations. The ISC model is the next generation of organized systems of care, a likely replacement to the Accountable Care Organization (ACO), according to Mike Rhoades, chief executive officer of Alera Health. “Smaller organizations benefit by being at the table for care coordination value-based payments when they can pool their resources and invest collectively in advanced technologies, they would otherwise not be able to afford,” said Mr. Rhoades.
The Centers for Medicare & Medicaid Services (CMS) announced in January 2023 the expansion of three accountable care initiatives to provide high-quality care to over 13.2 million Medicare beneficiaries. CMS has a goal for every Medicare member to be associated with an ACO by the year 2030. The growth of the Medicare ACO initiative is reflective of other health care payer systems. Medicaid, Commercial, and Government payers are aligning payment to integrated delivery systems to encourage systems of care for children, coordination of care services to support integrated medical-behavioral-social care, and accountable relationships between and across provider systems to ensure continuity and follow up.
To take advantage of these new initiatives, provider organizations are seeking innovative ways to participate in these accountable care delivery systems. Download this white paper to learn more about ACOs and other models such as Clinically Integrated Networks (CINs) and Integrated Systems of Care (ISCs). This white paper is written for behavioral health providers who are interested in learning more about what ACOs are all about, how to participate and most importantly, how to form one.
About Alera Health (Formerly Blaze Advisors)
Alera Health assembles and manages Integrated Systems of Care (ISCs) for patients with primary and secondary behavioral health issues. With over 3M lives across 15 “ONEcare©” networks nationwide, Alera Health supports behavioral health, primary care, and social care providers manage a seamless and accountable continuum of care, enabling patients to share their story just once. Leveraging our proprietary Care Optimization System©, ONEcare providers receive “care alerts” that improve disease detection, anticipate crisis, and enhance patient engagement. ONEcare networks have improved timely access by 10X and reduced unnecessary inpatient utilization by up to 50%, earning millions in incentives for ONEcare participants.
For more information, please visit www.alerahealth.com.
