In a significant move to streamline clinical quality reporting for accountable care organizations (ACOs), San Francisco-based health tech firm Innovaccer Inc. has announced the launch of a new AI-assisted quality management solution. Designed to support ACOs in adhering to evolving electronic Clinical Quality Measures (eCQMs), the solution arrives at a crucial time as the Centers for Medicare & Medicaid Services (CMS) prepares to introduce new reporting requirements in 2025 for the Medicare Shared Savings Program (MSSP) ACOs.

The introduction of this advanced tool underscores a pivotal shift in healthcare management, focusing on the integration of AI and analytics to elevate the quality of patient care and compliance. Innovaccer’s solution not only enhances data processing capabilities but also offers predictive models to optimize patient outreach and care strategies, facilitating superior health outcomes.

For ACOs, which are groups of doctors, hospitals, and other healthcare providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients, managing and reporting quality metrics efficiently is imperative. The eCQMs are a cornerstone of this process, designed to help them track care quality using data extracted from electronic health records (EHRs). Innovaccer’s solution is specifically engineered to assist in the seamless aggregation and submission of these measures, as well as MIPS CQMs (Merit-based Incentive Payment System Clinical Quality Measures).

Adding a layer of certification, Innovaccer is set to receive ONC certification for eCQM calculation and reporting from the Office of the National Coordinator for Health Information Technology. This certification will enable Innovaccer to support ACOs in handling the intricacies of data management required for quality reporting, ensuring that quality care directives outlined by CMS are met with precision and efficiency.

Moreover, Innovaccer’s recent collaboration with Healthmonix, a specialist in MIPS reporting and value-based care analytics, indicates a strategic move to further bolster its reporting proficiency. This partnership is poised to enhance the delivery of value-based care initiatives, reflecting a shared commitment to refine the integration of healthcare services and data management.

At the recent HIMSS24, Innovaccer also unveiled new financial analytics and AI models aimed at providing ACOs with deeper insights into performance metrics including quality, risk, cost, and utilization. Such tools are crucial for ACOs as they seek to navigate contract terms effectively and forecast year-end earnings and incentives accurately. With the ability to streamline eCQM submissions and enhance financial outcomes, Innovaccer’s innovative solutions support ACOs in their quest to optimize healthcare delivery.

Kanav Hasija, cofounder and CPO of Innovaccer, expressed enthusiasm about the launch, highlighting that the new capabilities are tailored to assist ACOs in transitioning to updated reporting guidelines seamlessly, thus avoiding any downtime or adverse impact on patient care. His statement emphasizes the solution’s capacity to gather, assess, and effectively manage quality measures within the stipulated CMS frameworks.

This development represents a significant advancement in the intersection of healthcare and technology, promising not only to enhance the operational efficiency of ACOs but also to improve the overall quality of healthcare delivery. As more than 35 MSSP ACOs and over 15 ACO REACH participants are already employing Innovaccer’s population health management and analytics solutions, the potential for these new capabilities to make a broad impact on the healthcare system is substantial.

Innovaccer continues to demonstrate its pledge to innovation in healthcare management, affirming its position as a leader in the use of cutting-edge technology to foster better health outcomes and operational effectiveness across the United States.