How Medical Advantage Helps Professional Medical Corporation ACO Maximize Medicare Shared Savings

by | Oct 1, 2021 | Articles, Healthcare Consulting

Although healthcare providers worldwide faced unbelievable roadblocks in 2020 due to the pandemic, Professional Medical Corporation (PMC) ACO – a Medicare Shared Savings Program ACO based in Flint Michigan – attained an incredible 5.4% savings, and an incentive payment of $1.6 million to physician members from CMS. In fact, PMC ACO ranked among the top Michigan ACOs in earned savings per beneficiary, showcasing its amazing efficiency and high level of care to patients. 

Achieving Financial Success for PMC ACO Providers 

Proving its positive trajectory, PMC ACO has earned savings from CMS in four of the past seven years with the support of Medical Advantage – which provides business management, in-practice support, case management, information technology, and analytics services to the ACO. 

The consultants at Medical Advantage work directly with PMC ACO physicians to monitor and improve performance in areas such as: 

  • CMS annual wellness visit completion 
  • Follow-up after ED or inpatient discharge 
  • Complete and accurate risk capture 
  • Unnecessary waste of resources (time, personnel, equipment, etc.) 
  • Ensuring that medical staff have up-to-date knowledge of ever-changing Medicare requirements 
  • Various healthcare cost drivers 

Medical Advantage runs the numbers of each member of PMC ACO and looks for trends and opportunities. If a practice is languishing in a certain area, a consultant will visit the medical practice and find the inefficiencies which are causing the issue. The consultant will then show the practice how to repair the problem as quickly and cost-effectively as possible. 

Streamlining Healthcare in Flint MI for Optimum Results 

Medical Advantage consultants also work with the broader community of caregivers to facilitate active collaboration with PMC ACO physicians, such as with home health providers, skilled nursing facilities, dialysis centers, and local hospitals. At the beginning of the COVID-19 pandemic, Medical Advantage provided PMC ACO members with telemedicine training and support to minimize disruption to care delivery. 

Medical Advantage makes sure that no stone is left unturned in your medical practice, and the team knows how to find hidden gold. PMC ACO and Medical Advantage look forward to continued success together in 2021 and beyond! 

Speak with one of our Healthcare Experts today.

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