1. Doxicloud and The Accountable Care Organizations
Doxicloud is a clinical services and technology company built specifically to power this transformation. We provide the scalable infrastructure, clinical expertise, and proven programs that enable ACOs to excel in risk-based contracts. Our suite of services—Chronic Care Management (CCM), Remote Physiological Monitoring (RPM), and Advanced Primary Care Management (APCM)—is designed to directly impact the key drivers of ACO success: quality metrics, patient satisfaction, and total cost of care (TCOC).
This document outlines how a strategic partnership with Doxicloud will provide the ACO with the tools and support needed to improve patient outcomes, generate shared savings, and solidify your position as a leader in value-based care.
2. The ACO Challenge: Managing Risk and Complexity
ACOs succeed by managing the health of their attributed population, particularly those with multiple chronic conditions (MCCs). This cohort represents a disproportionate share of spending and clinical risk. Key challenges include:
- Identifying and Stratifying Risk: Pinpointing the patients who need intervention most urgently.
- Closing Care Gaps: Ensuring patients receive evidence-based preventive and chronic care services.
- Preventing Avoidable Utilization: Reducing costly emergency department (ED) visits and hospital admissions, especially readmissions.
- Managing Patient Transitions: Ensuring smooth care coordination post-discharge to prevent complications.
- Operating Efficiently: Implementing these programs without overburdening existing clinical staff or requiring massive capital investment.
Doxicloud’s programs are the turnkey solution to these challenges.
3. The Doxicloud Solution: A Integrated Approach to Population Health
We don’t offer siloed services. Doxicloud provides an integrated care management ecosystem that seamlessly blends our three core programs to wrap around the patient and support your providers.
3.1 Chronic Care Management (CCM): The Foundation of Coordination
Doxicloud’s CCM program provides the continuous oversight required for patients with 2+ chronic conditions.
- How We Do It: Our dedicated care coordinators, working under the supervision of your physicians, perform monthly outreach, medication reconciliation, and care plan management. We use a HIPAA-compliant platform that integrates with your EHR.
- Impact for ACO:
- Saves Lives: Improves medication adherence and ensures patients understand their care plans, reducing errors and complications.
- Reduces Costs: Proactive management prevents minor issues from escalating into acute crises, directly reducing ED and hospital utilization.
3.2 Remote Physiological Monitoring (RPM): The Data-Driven Early Warning System
RPM moves care into the home, providing a continuous stream of objective physiological data.
- How We Do It: We supply patients with FDA-cleared devices (e.g., blood pressure cuffs, glucose meters, scales), set them up, and monitor the incoming data. Our clinical team alerts your providers to concerning trends before they become emergencies.
- Impact for ACO :
- Saves Lives: Enables early intervention for worsening heart failure (weight gain), uncontrolled hypertension, or hypoglycemic events.
- Reduces Costs: Provides the most direct path to reducing avoidable readmissions. For a heart failure patient, preventing one hospitalization saves ~$15,000, which funds RPM for dozens of patients for a year.
3.3 Advanced Primary Care Management (APCM): The Operational Engine
APCM is the overarching framework that transforms a primary care practice. Doxicloud provides the technology, workflow redesign, and support to operationalize APCM.
- How We Do It: We train your team on proactive, team-based care and provide the tools for efficient care coordination.
- Impact for ACO :
- Saves Lives: Systematically ensures patients receive all recommended preventive and chronic care services, improving outcomes across your entire population.
- Reduces Costs: Creates a highly efficient primary care operation that maximizes reimbursement for value-based services (CCM, RPM, BHI) and becomes the quarterback for reducing specialty and acute care spend.
4. How Doxicloud Directly Supports ACO Key Performance Indicators (KPIs)
| ACO Goal / KPI | How Doxicloud Programs Drive Success |
|---|---|
| Reduce Hospital Readmissions | RPM is proven to reduce HF readmissions by 30-50%. CCM ensures perfect medication reconciliation and follow-up post-discharge. |
| Reduce ED Visits | CCM provides 24/7 access to care guidance, diverting non-emergent cases. RPM allows for early intervention at home. |
| Improve Quality Scores (HEDIS) | APCM analytics actively identify and close care gaps (mammograms, diabetes care, BP control), directly boosting Star Ratings and quality performance. |
| Improve Patient Satisfaction (CAHPS) | CCM gives patients a constant partner in their care journey, dramatically improving their experience and sense of support. |
| Increase Provider Satisfaction | We reduce administrative burden and burnout by providing a dedicated support team and technology, allowing your clinicians to practice at the top of their license. |
| Manage Total Cost of Care (TCOC) | The combined effect of all three programs reduces utilization in the highest-cost settings (hospital, ED), directly lowering the TCOC for your attributed population. |
5. The Financial Model: From Expenditure to Investment
We understand that ACOs must be prudent with resources. A partnership with Doxicloud is not an expense; it is a strategic investment with a clear and compelling ROI.
How the Partnership Works Financially:
- Shared Risk/Success Model: We can align our compensation directly with your success. Our fees can be partially or fully contingent upon achieving agreed-upon metrics (e.g., reduction in readmissions, shared savings bonuses).
- Revenue Offset: Our programs generate their own Medicare reimbursement (CCM, RPM codes). This new revenue can significantly offset or even exceed the cost of our services, making the program cost-neutral or profitable from day one.
- ROI Calculation: The primary return comes from avoided acute care costs.
- Example: For an ACO with 1,000 high-risk patients, a Doxicloud program costing $300,000 annually would need to prevent just 20 hospitalizations ($300,000 / $15,000 per admission) to break even. Our data shows our programs consistently prevent far more.
6. Why Doxicloud is the Right Partner for ACOs
- Clinical Expertise, Not Just Technology: Our team is led by clinicians who understand patient care and workflow.
- Seamless Integration: We pride ourselves on integrating with your existing EHR and clinical workflows, not disrupting them.
- Scalability: Our programs can be rolled out to a pilot group or your entire attributed population with ease.
- Proven Outcomes: We have a documented history of delivering the results we promise: improved outcomes, reduced costs, and enhanced patient and provider satisfaction.
