ACO-MS

The Centers for Medicare & Medicaid Services (CMS) continues to advance innovative payment and service delivery models to help move our health care system from one that pays for volume to one that rewards providers for keeping patients healthy, improving health outcomes and lowering costs.

“ I really like this new enhancement to filter SNF affiliates, especially for star ratings, it’s helpful.”

- ACO User

THE PROBLEM

A broadly distributed program with national participation

The Scope of the Shared Shaving Program grew significantly and needed a system that could support annual changes to program requirement for nearly 513 ACO organizations. This growth strained the existing Health Plan Management System (HPMS) to the degree that a new, improved system was needed to meet the growing CMS needs.

THE SOLUTION

ACO-MS is a flexible tool that meets objectives to reduce administrative burden and meet the expanding needs of SSP ACO program

In building ACO-MS, Softrams and CMS leveraged a modern scalable architecture, including platform and solutions, combined with agile delivery and a human-centered design approach to meet the needs of the SSP ACO's, CMS staff and other stakeholders.

WHAT WE DID!

ACOMS is like Amazon, user friendly and far better than 3 years ago.”

- ACO User

Elastic search allows Users to store, search and analyze big volumes of data quickly and in real-time.

Advanced Search is a built-in feature of Google that allows users to extrapolate information using keywords embedded inside documents. Softrams accomplish this by using Elastic Search and Amazon SQS:

Elastic search allows to store, search analyze big volumes of data quickly and in real-time.
Amazon SQS offers a reliable and highly scalable hosted queue for storing messages as they travel between applications.

INSTEAD OF WORDS,
LET THE NUMBERS SPEAK.

10.7M

PROGRAM PERFORMANCE RESULTS

By 2021, over 10.7 million fee-for-service Medicare beneficiaries are served by health care providers in ACOs.

$1.19B

LOWER COSTS ACHIEVED

In 2019, the Medicare Shared Savings Program generated $1.19 billion in total net savings to Medicare, the largest annual savings for the program to date.

92%

DELIVER HIGH QUALITY CARE

92% of eligible ACO's earned quality improvement reward points in 2019 and modeled the greatest improvements in patent safety and care coordination quality domains.

HOW WE DID IT?

I like the “add to calendar” button to save the important date on the landing page.

- ACO User

Softrams integrated project team members worked collaboratively with CMS staff to develop clickable low fidelity and high-fidelity prototypes.

The Knowledge Library module is an example of how the ACO-MS team conducted Human eXperience research and provided several recommendations to build features that provide the most accessed data with enhanced user experience. Human Experience (HX) Design is the overarching term for how Softrams approaches the development of our digital solutions. Softrams believes that providing a good HX involves a combination of User Experience development processes, and Service Design processes.

Accountable Care Organization Management System (ACO-MS)