Accountable Care Solution for Payors

Enabling improved patient outcomes at lower total cost

The U.S. healthcare industry is challenged by spiraling costs and disparities in the quality of care delivered. These issues can be attributed to the predominant fee-for-service reimbursement model that rewards quantity over quality, and a disjointed system of healthcare delivery that has resulted in redundancies and gaps in care delivery. An Accountable Care Organization (ACO) — introduced by the Patient Protection and Affordable Care Act (PPACA) — encourages and incentivizes patient-centric and coordinated care, aiming to improve patient outcomes and reduce overall cost of care.

Although ACOs are primarily targeted at healthcare providers, healthcare payors also have an opportunity to benefit financially from efficient resource utilization and reduction of redundant services. They can also benefit by transferring some financial risk to the ACOs, if they do not achieve the defined quality and costs targets. However, payors will need to develop a set of integrated IT and operational capabilities to support this new delivery model.

Solution

Infosys Accountable Care Solution for Payors combines portals and a comprehensive analytical platform, to offer an integrated system that can aid effective management of ACOs – including both operational and analytical services.

Accountable Care Solution Features

 

The Value Proposition

• Effective ACO management: We integrate operational and analytical services in a single solution, which helps reduce disparities in implementation and improves productivity.
• End-to-end cost and quality management: Our solution provides an integrated, 360-degree view of an ACO program to identify inefficiencies and improvements.
• Accelerated time-to-market: Our solution is ready-to-deploy and technology-agnostic, with configurable solution components that can help build support for an ACO in a short period of a few months.
• Lower cost and complexity: We combine consulting, program management and business process services — thus equipping organizations with the delivery of end-to-end capabilities needed for implementing and managing an ACO.