As accountable care organizations (ACOs) become more widespread, many people see little difference between ACOs and managed-care capitation of the 1990s. In the 1990s, physicians were paid a set amount to care for a patient, and could leave more money for themselves if they just didn’t spend it on services. Today, the capitation is based on value, and if you don’t achieve the desired outcomes then payments will be clawed back. Whether one limits the payment or takes money back, isn’t it still capitation?
The good news is that you can use wellness visits to help avoid the cap! Here’s how:
- Do Annual Wellness Visits on everyone in the ACO
- Combine the visit with our health risk assessment tool, the SHQ
- Analyze environmental and behavioral data to measure population health risk
- Align community resources to address environmental and behavioral risk
This way, you get paid for the AWV, generate population health data on environmental and behavioral factors, and have online tools to help guide patients to resources!
We know that 85% of health outcomes are determined by environmental and behavioral health ecology. So if you’re going to deliver good outcomes, health ecology is the place to start.
- Physical activity
- Personal behaviors
Our SHQ is the online tool that puts your team back on offense with managed care organizations. Don’t let your practice be vulnerable to the 85% of determinants of health outcomes without doing something about it!
Contact us and we’ll set you up for a free 60-day trial. Avoid the cap by addressing health ecology. You’ll be glad you did!