The program had 4 aims:
Increase the IPA’s aggregate STAR ratings under value-based arrangements
Screen and identify patients with social determinants gaps, and make corrective clinical actions to address these gaps
Leverage the IPA’s digital health infrastructure to utilize preventative care, leading to a reduction in expensive hospitalizations and ER visits
Reconcile data from multiple sources of truth to optimize risk factor management and improve coding
Caret’s platform and implementation team helped the IPA set up a centralized command center of medical assistants, nurses, and providers. This centralized team utilized the Caret platform to aggregate and reconcile data, identify gaps in value-based performance, and execute clinical pathways to close performance gaps.
The IPA was able to visualize progress of key processes such as earnings forecasts, screening, clinical pathways, task management, patient engagement, and staff utilization. This brought much needed transparency and reconciliation to its digital health portfolio.
After 1 year, the IPA achieved 4+ star ratings on key quality measures and an additional 10% cost savings below 2021. This generated a 17x improvement in value-based revenue: over half a million dollars per thousand patients that was previously left on the table.
