Who We Support

Accountable Care Organizations (ACOs)

As accountable care organizations (ACOs)—including those in the Medicare Shared Savings Program (MSSP), Medicare Next-Generation ACO, Medicaid, and other at-risk arrangements—transition from fee-for-service to value-based care, their focus changes from managing patient conditions to managing the whole person and entire populations while bearing additional risk for avoidable services and poor outcomes.

When an organization is incentivized based on the total cost of patient care, they need tools to promote collaboration across the care continuum. These tools need to be able to identify at-risk patients and recognize the medical and non-medical factors that increase the cost of care for those patients, plus coordinate the appropriate care team interventions to address all the patient’s needs. GSI Health integrates care coordination with robust analytics into a single platform to provide the big picture of patient care, enabling efficient, collaborative care for diverse teams with real-time information so you can keep your patients healthier.

GSIHealthCoordinator Enables... Impact:

Patient identification

Identification of at-risk patients for enrollment into care coordination programs and reduced avoidable hospital usage, including ED visits and readmissions, to reduce the risk and cost to the ACO

Care team collaboration

Improved and effective care coordination, follow-up after discharge, and transitions in care among the providers treating complex and multi-chronic patients

Interoperability with EHRs
and HIEs

Improved information sharing across the ACO and its network

Actionable information based on clinical data to promote interventions

Customized reporting
and measurement

Improved shared savings and adherence to performance goals addressing gaps in care

Robust analytics with
actionable insights

Lower risk through insights that enable you to proactively address gaps in care, strategically identifying at-risk patients in time for cost-effective interventions, and enroll patients in care management programs