#Aco marketing toolkit how to

Once your CBO has identified its health care contracting goals, you need to determine which potential business partner(s) can help you achieve those goals. Step 2: Determine Your Potential Partner(s) See the Appendix for useful tools that can help your CBO define its goals. What is your CBO trying to achieve? How will you define success? Which business line(s) do you want to grow? Which health care payer(s) and/or provider(s) do you want to do business with? Knowing specifically which types of health care entities your CBO is best positioned to work with or what you want from a business relationship is the first step. Every market is different, and these messages should be tailored to represent your CBO’s unique needs, strengths and opportunities. This Toolkit is designed to help CBOs identify the specific audiences and messages needed to attract several types of potential health care entities as partners. If a health care entity doesn’t know how your CBO can help it meet its goals, it is likely to build a solution of its own, thus competing with the services your CBO provides and missing out on the valuable experience and expertise your CBO has built over time.Ĭommunicating clearly and effectively about your CBO’s capabilities removes one of the biggest barriers to health care contracting and builds stronger business alliances, potentially leading to successful cross-sector partnerships and healthier communities.

In the health care payer and provider worlds, there is a lack of understanding regarding CBOs and their capabilities. If you don’t brag about your CBO’s skills, competencies and successes, who will? Trusting chance to be your messenger is not something to build a business plan on.

#Aco marketing toolkit how to

CBOs at various stages of contracting with health care entities can use this toolkit as a primer on how to conduct outreach and how to craft messages best suited to potential contracting targets. One way to show the value of a DSMES service is to demonstrate how the DSMES service addresses the quality measures that PCMHs and ACOs must meet.ĪCOs are required to meet and report on data that are used to calculate and assess their quality performance in four domains: patient/caregiver experience, care coordination/patient safety, preventive health and screening, and at-risk populations.This toolkit offers guidance for aging and disability community-based organizations (CBOs), such as Area Agencies on Aging (AAAs) and Centers for Independent Living (CILs), that are in the early stages of seeking to contract with health care providers and payers to provide home and community-based services and supports. DSMES may help PCMHs and ACOs meet these standards. There is a link between DSMES services and the national quality measures listed above. Merit-based Incentive Payment System (MIPS)Īccountable care organizations and patient-centered medical homes are two models of coordinated care with common goals of lowering costs and improving quality.Ĭonsumer Assessment of Healthcare Providers and Systems (CAHPS) DSMES May Help Meet Quality Measures Medicaid Adult Health Care Quality MeasuresĢ021 Core Set of Adult Health Care Quality Measures for Medicaid (Adult Core Set) Healthcare Effectiveness Data and Information Set (HEDIS) Brief descriptions and resource links are provided below for some of the most common quality data measurement sets.

These quality measures are increasingly used to determine payment to hospitals, physicians, and other health care providers.ĭSMES is relevant to many important quality measures. One method to demonstrate this objective is with a common set of quality measures. Improving quality of care and general health status for all people is in the forefront of health care in the United States.