Care Transformation Toolkit

Care Transformation Toolkit

Learning Systems for Accountable Care Organizations
Published: Jan 11, 2021
Publisher: Baltimore, MD: U.S. Centers for Medicare & Medicaid Services
Key Findings

This toolkit presents an array of Medicare ACOs’ strategies for transforming the delivery of care, improving the quality of care, lowering health care costs, and enhancing the beneficiary care experience. Many of the strategies described involve implementation of Medicare policies that provide financial incentives for ACOs and ACO participants or that reduce administrative and/or clinical burden. The toolkit identifies specific strategies to:

  • Transform care through telehealth
  • Support high-risk beneficiaries with home visits
  • Provide beneficiaries with timely access to skilled nursing care

This toolkit describes ACOs’ strategies for developing and implementing programs that transform the delivery of care, thereby improving the quality of care, lowering health care costs, and enhancing the beneficiary care experience. The toolkit begins by reviewing ACOs’ common approaches to, and best practices for, implementing sustainable care transformation initiatives. The toolkit then explores specific programs related to:

  • Using telehealth to expand access to care and increase efficiency
  • Supporting high-risk beneficiaries through home visits
  • Providing beneficiaries timely access to skilled nursing care

This is the fourth toolkit in a broader series of resources that explore different aspects of how ACOs operate to provide value-based care.

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