Learning Systems for Accountable Care Organizations
Prepared for:
U.S. Department of Health and Human Services, Center for Medicare & Medicaid Innovation
Nebraska Health Network’s Data Management System for Improving Quality and Reducing Costs (Case Study)
Learning Systems for Accountable Care Organizations
Associated Project
Key Findings
- NHN’s data management system has significantly improved its key operations, such as quality reporting and performance improvement.
- NHN observed an improvement in its internal quality scores after launching the new data management system.
- NHN overspent its benchmark by $3.5 million in 2017, and successfully saved nearly $5 million in 2018 and more than $13 million in 2019.
Nebraska Health Network (NHN) developed a data management system to more efficiently respond to the quality reporting requirements of the Medicare Shared Savings Program (MSSP) and to facilitate the implementation of performance improvement strategies. This case study describes how the ACO established this system and leveraged its analytic tools to improve the quality of care and reduce costs. NHN’s experience is informative not only for new ACOs that are forming their analytic approach but also for experienced ACOs that are using data to support strategic initiatives.
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