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Vendors offer crucial capabilities for organizations developing ACOs<\/h2>
Healthcare\u2019s shift to value-based care has increased the interest in accountable care organizations. According to a recent report from Chilmark Research, about 936 ACOs were in operation at the end of last year, participating in more than 1,300 ACO contracts. Starting an ACO is fraught with risk\u2014provider organizations typically may start their own, and then look for help with any technology, resource or knowledge gaps they need to fill, Chilmark says. Alternatively, a potential ACO can outsource a portion or all ACO development to a third-party vendor. The Chilmark report rates the capabilities of 10 ACO vendor \u201cenablers,\u201d which are capable of supporting \u201cthe complete end-to-end development, deployment, optimization and sometimes even the ongoing administration of ACOs.\u201d<\/p>

ACOs need these capabilities to address market complexity<\/h2>
The Chilmark report identifies three key capabilities that ACOs need to succeed, which ACO solution vendors aim to supply to developing ACOs. Many of these capabilities rely on information technology prowess.Population Health<\/b>Electronic collaborative consumer health recordAnalyticsData sharing and interoperabilityCare managementEngagementStrategy and Business<\/b>Network designProvider\/network recruitment and trainingBroad enterprise designLegal and compliance capabilitiesSystems or vendor managementSales and marketing skillsFinancial Management<\/b>Actuarial modelingNetwork designMeasurement and incentive designProvider compensation designCost accounting and performance monitoringReimbursement reconciliation acumenWhat follows are Chilmark\u2019s ratings of the three top strengths of 10 ACO enablers in achieving the capabilities listed above.<\/p>

Aledade<\/h2>
Two years of experience and 15 ACOshttps:\/\/www.aledade.com\/<\/a>Differentiators:Gives PCPs an alternative to remain independentHas policy, regulatory and population health management expertiseRequires no work on the provider\u2019s end to build the ACO<\/p>

Caravan Health<\/h2>
Three years of experience and 23 ACOs http:\/\/caravanhealth.com\/<\/a>Differentiators:Offers rural providers a first-to-market advantageHas experience and trust in the market segmentOffers a track record in which one-third of its ACOs received shared savings in the first year<\/p>

CHESS<\/h2>
Four years of experience and 3 ACOs http:\/\/www.chessmso.com\/<\/a>Differentiators:Has relevant experience working in this modelOffers flexible and customizable solutionsHas deep contracting expertise<\/p>

Conifer Health<\/h2>
Five years of experience and 11 ACOs http:\/\/coniferhealth.com\/<\/a>Differentiators:Has 20 years of experience with all types of value-based arrangementsOffers expertise across a variety of payment modelsHas strengths in being clinically driven with a focus on clinical outcomes and measurement<\/p>

Cognizant<\/h2>
Experience level and number of ACOs not disclosed https:\/\/www.cognizant.com\/healthcare<\/a>Differentiators:Offers a proprietary implementation frameworkHas a breadth and depth of experience in supporting providersSupplies advanced data warehousing and analytics capabilities<\/p>

Evolent<\/h2>
Four years of experience and 10 ACOs https:\/\/www.evolenthealth.com\/<\/a>Differentiators:Assumes a portion or 100 percent of downside riskHas vast experience, which enables turnkey implementationsConsistently has results generating shared savings<\/p>

McKesson<\/h2>
Five years of experience and 13 ACOs http:\/\/www.mckesson.com\/<\/a>Differentiators:Has consulting expertise along the entire VBC lifecycleOffers years of experience in VBC enablementCan educate providers on how best to use information technology<\/p>

Optum<\/h2>
Five years of experience and an undisclosed number of ACOs https:\/\/www.optum.com\/<\/a>Differentiators:Has size and breadth of consulting experienceOffers IT and services experienceProvides strong financial analysis and actuarial support, along with VBC\/ACO experience running their own ACOs<\/p>

Premier<\/h2>
Four years of experience and 68 ACOs https:\/\/www.premierinc.com\/<\/a>Differentiators:Has extensive VBC experience and knowledgeOffers deep staff expertise (60 SMEs with decades of experience)Draws upon a market leadership position that sets the pace for VBC<\/p>

TMA Practice Edge<\/h2>
One year of experience with 12 ACOs http:\/\/www.tmapracticeedge.com\/<\/a>Differentiators:Works with physicians in Texas to support their independenceDevelops 100 percent physician-owned networks with TMA supportBrings scale to small practices, with 80 percent having only one or two primary care physicians<\/p>

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Vendors offer crucial capabilities for organizations developing ACOs<\/h2>
Healthcare\u2019s shift to value-based care has increased the interest in accountable care organizations. According to a recent report from Chilmark Research, about 936 ACOs were in operation at the end of last year, participating in more than 1,300 ACO contracts. Starting an ACO is fraught with risk\u2014provider organizations typically may start their own, and then look for help with any technology, resource or knowledge gaps they need to fill, Chilmark says. Alternatively, a potential ACO can outsource a portion or all ACO development to a third-party vendor. The Chilmark report rates the capabilities of 10 ACO vendor \u201cenablers,\u201d which are capable of supporting \u201cthe complete end-to-end development, deployment, optimization and sometimes even the ongoing administration of ACOs.\u201d<\/p>

ACOs need these capabilities to address market complexity<\/h2>
The Chilmark report identifies three key capabilities that ACOs need to succeed, which ACO solution vendors aim to supply to developing ACOs. Many of these capabilities rely on information technology prowess.Population Health<\/b>Electronic collaborative consumer health recordAnalyticsData sharing and interoperabilityCare managementEngagementStrategy and Business<\/b>Network designProvider\/network recruitment and trainingBroad enterprise designLegal and compliance capabilitiesSystems or vendor managementSales and marketing skillsFinancial Management<\/b>Actuarial modelingNetwork designMeasurement and incentive designProvider compensation designCost accounting and performance monitoringReimbursement reconciliation acumenWhat follows are Chilmark\u2019s ratings of the three top strengths of 10 ACO enablers in achieving the capabilities listed above.<\/p>

Aledade<\/h2>Two years of experience and 15 ACOs https:\/\/www.aledade.com\/<\/a>Differentiators:Gives PCPs an alternative to remain independentHas policy, regulatory and population health management expertiseRequires no work on the provider\u2019s end to build the ACO<\/p>

Caravan Health<\/h2>
Three years of experience and 23 ACOs http:\/\/caravanhealth.com\/<\/a>Differentiators:Offers rural providers a first-to-market advantageHas experience and trust in the market segmentOffers a track record in which one-third of its ACOs received shared savings in the first year<\/p>

CHESS<\/h2>
Four years of experience and 3 ACOs http:\/\/www.chessmso.com\/<\/a>Differentiators:Has relevant experience working in this modelOffers flexible and customizable solutionsHas deep contracting expertise<\/p>

Conifer Health<\/h2>
Five years of experience and 11 ACOs http:\/\/coniferhealth.com\/<\/a>Differentiators:Has 20 years of experience with all types of value-based arrangementsOffers expertise across a variety of payment modelsHas strengths in being clinically driven with a focus on clinical outcomes and measurement<\/p>

Cognizant<\/h2>
Experience level and number of ACOs not disclosed https:\/\/www.cognizant.com\/healthcare<\/a>Differentiators:Offers a proprietary implementation frameworkHas a breadth and depth of experience in supporting providersSupplies advanced data warehousing and analytics capabilities<\/p>

Evolent<\/h2>
Four years of experience and 10 ACOs https:\/\/www.evolenthealth.com\/<\/a>Differentiators:Assumes a portion or 100 percent of downside riskHas vast experience, which enables turnkey implementationsConsistently has results generating shared savings<\/p>

McKesson<\/h2>
Five years of experience and 13 ACOs http:\/\/www.mckesson.com\/<\/a>Differentiators:Has consulting expertise along the entire VBC lifecycleOffers years of experience in VBC enablementCan educate providers on how best to use information technology<\/p>

Optum<\/h2>
Five years of experience and an undisclosed number of ACOs https:\/\/www.optum.com\/<\/a>Differentiators:Has size and breadth of consulting experienceOffers IT and services experienceProvides strong financial analysis and actuarial support, along with VBC\/ACO experience running their own ACOs<\/p>

Premier<\/h2>
Four years of experience and 68 ACOs https:\/\/www.premierinc.com\/<\/a>Differentiators:Has extensive VBC experience and knowledgeOffers deep staff expertise (60 SMEs with decades of experience)Draws upon a market leadership position that sets the pace for VBC<\/p>

TMA Practice Edge<\/h2>
One year of experience with 12 ACOs http:\/\/www.tmapracticeedge.com\/<\/a>Differentiators:Works with physicians in Texas to support their independenceDevelops 100 percent physician-owned networks with TMA supportBrings scale to small practices, with 80 percent having only one or two primary care physicians<\/p>

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10 top providers of ACO services

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