OIG Report Finds Challenges with ACO Care Coordination

The Office of Inspector General (OIG) held site visits and interviews at six accountable care organizations (ACOs) – four participating in the Next Generation ACO model and two in the Medicare Shared Savings Program – to evaluate how ACOs are using health IT tools for coordinated care. The report found that the ACOs that used single electronic health record (EHR) systems were able to optimize care coordination, but those that were more decentralized had to rely on the existing EHR systems used by their providers. Overall, ACOs faced difficulty in exchanging data with providers outside of their networks. Other health IT tools such as population analytics or patient-facing tools had a less visible impact on care coordination; for example, health information exchanges frequently had incomplete patient data.

The Department of Health and Human Services proposed initiatives to address this issue, including releasing a second draft of the Trusted Exchange Framework and Common Agreement from the Office of the National Coordinator for Health IT. The agreement aims to promote national interoperability and data-sharing requirements.


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Mara McDermott at 202-204-1462 or mmcdermott@mcdermottplus.com.