Category: ACO Leakage

Beyond the Hype: How to Deploy AI Summaries That Work in Practice

Deploying AI in a health system means more than choosing the right tool — it means getting clinicians, IT, and governance committees on board from day one. In this on-demand webinar hosted by Healthcare Dive, HDAI experts Dr. Scott Cullen, David Clain, and Carola Endicott walk through a practical framework for evaluating and scaling AI Summaries across your organization.

Skin Substitutes: A Cost Nightmare That Could Still Hurt ACOs

By Josh Gray and Maria Monahan The skin substitute cost explosion of 2022 – 2025 should be behind us. But it continues to hang over the finances of ACOs. Skin substitutes are expensive wound care products made from human placenta and other biologicals. The cost of some of these products exceeded $21K per square inch.

AI on the Front Lines: Houston Methodist’s Innovative Approach to Reducing Readmissions

How can AI transform quality, outcomes, and economics? It’s not about telling clinicians what to do or how to design a different workflow. Most organizations have very smart clinicians doing the work. But how can we make them more impactful? Using predictive risk models and AI Summaries embedded in the EHR, Nassib Chamoun, HDAI CEO, talks with colleagues Brenda Campbell and Zachary.

How Houston Methodist is Cracking the Code on HCC

Houston Methodist Coordinated Care Medicare ACO is #1 in savings per patient for Academic Medical Centers, 98th percentile in total earned savings, and 98th percentile in quality nationally. One of their leaders, Wajiha Waheed, Director of Finance and Operations, joined us to discuss HCC recapture tools and change management innovations with Emily Hightower, MSN, Manager.

Hidden in Plain Sight – The Cost of ACO Leakage

By Josh Gray and Maria Monahan Many major hospital and health systems have launched Accountable Care Organizations (ACOs) through Medicare’s Shared Savings Programs (MSSP). Leakage – patients receiving care from competing hospitals or specialists – can be a substantial challenge for health system-affiliated ACOs. Out-of-network visits limit an ACO’s visibility, making both cost control and care coordination difficult.