Rio Grande Valley Alliance Achieves Shared Savings Success Through Population Health
Physician-led ACOs have been shown to be more successful at improving outcomes and reducing costs than hospital-run ACOs. Looking at a case study with Rio Grande Valley Health Alliance (RGVHA) ACO in South Texas, learn how 24 primary care physicians joined together to become one of the top Medicare Shared Savings ACOs in Texas.
Featured Speakers: Victoria Farias is the Program Administrator at Rio Grande. Josh Patten is the Lead Advisor and Medical Economist at Lightbeam Health Solutions.
Hierarchical Condition Coding -
Document and Code for Serious Illnesses for Accurate Payment
Hierarchical Condition Coding (HCC) is required in capitated plans such as Medicare Advantage. Coding should be specific for the patient’s condition and well documented in the patient’s record. Understand that HCC relates to serious life-altering, life-threatening conditions such as diabetes with complications, atrial fibrillation, congestive heart failure, kidney disease, post-stroke syndrome, etc. HCC codes determine physician payment in Medicare Advantage plans. This podcast will help ACOFP members avoid common mistakes, properly document and code for serious conditions of their Medicare Advantage patients.
Host: Christopher Scuderi, DO, Associate Chair, Department of Community Health and Family Medicine; Medical Director, UF Health Family Medicine and Pediatrics - New Berlin
Speaker: Dr. Judella Haddad-Lacle, Associate Professor with the University of Florida College of Medicine – Jacksonville; Medical Director of UF Health Community and Family Medicine – Jacksonville; Medical Director and Chair Value Based Care Funding Team UF Jacksonville.
The ACOFP Alternative Payment Committee is pleased to provide this member education podcast.