MedHOK Releases 360ACO(R) to Meet Unique Care Management, Quality Reporting Needs of ACOs

TAMPA, FL, Jun 29 (MARKET WIRE) --
MedHOK, a leading provider of clinical and quality software to the
healthcare industry, announced today that it has released 360ACO(R), a
software solution tailored to meet the specific information and analytics
needs of accountable care organizations (ACOs). The software allows ACOs
to aggregate and exchange actionable patient data to provide optimum care
and quality reporting in compliance with proposed Centers for Medicare &
Medicaid Services (CMS) rules.

"ACOs are required to meet a number of quality standards and prove their
cost-effectiveness as an organization, metrics that will be difficult to
achieve without the ability to effectively share and manage information
between providers, hospitals and other caregivers," said Anil Kottoor,
president and CEO, MedHOK. "For that to happen, ACOs must utilize
technology to automate many of the care management functions and quality
measures required by CMS. That is what 360ACO does. It provides the
comprehensive information ACOs need to achieve benchmarks and benefit
from shared savings. Most importantly, it delivers a 360-degree view of
the patient that drives enhanced quality and reduced costs."

A major component of a successful ACO is the ability to share information
within the organization and across the patient's continuum of care.
360ACO provides a hosted Internet-based solution that is easily
implemented and is the perfect solution for real-time information sharing
between the ACO and its physicians without requiring a major investment
in IT infrastructure.

While the rules are not final, it appears that ACOs will be required to
receive enrollment, eligibility and demographic data on assigned
beneficiaries. Through 360ACO, organizations can accept this data file
from CMS and process it into their systems. Further, because Medicare
beneficiaries are still able to access care anywhere in the
fee-for-service system, ACOs must be able to receive and analyze claims
information from CMS to ensure they have a complete picture of their
patient's care. 360ACO is equipped to receive this beneficiary data,
including Medicare Parts A, B and D encounters, and optimize it for use
by ACO providers in a meaningful way.

To improve patient care and maintain or lower costs, an ACO is
responsible for managing the assigned beneficiary population through
utilization, case and disease management. 360ACO streamlines this process
by providing assessments, care plans, disease management modules and case
management tools optimized for use by individual participants, including
physicians, nurses and case managers. By providing access to relevant
patient information, providers can follow members to monitor their care
and costs.

ACOs must also meet stringent quality reporting requirements if they are
to share in any savings. This necessitates continuous data monitoring to
identify and correct care gaps that can impact an ACO's ability to meet
established benchmarks. 360ACO provides the analytic tools necessary to
track all mandated measures (CAPHS, PQRS, NQF) to comply with CMS
reporting requirements. The product contains real-time monitoring and
alerts to notify users when a benchmark is in danger of not being met.

Other functionality includes generation of correspondence notifying
beneficiaries of care gaps and other quality information, which eases the
communication burden on the ACO. Additionally, 360ACO contains a provider
portal that facilitates information exchange, care collaboration and
issue resolution. The use of a real-time score card allows for the
monitoring of activities and workflows to ensure the timeliness of care.
Finally, audit tools allow the ACO to see what information was changed,
when and by whom and enable reporting of all activities and fields within
the system.

"By driving real-time sharing of clinically integrated, actionable
patient information between providers and delivering the analytic tools
required for real-time performance monitoring, 360ACO helps organizations
meet CMS' rigorous standards and achieve the cost reductions and quality
improvements necessary for success," said Kottoor.

About MedHOK
Based in Tampa, Fla., MedHOK (www.medhok.com) offers
cloud-based software solutions that eliminate silos and organize
client-specific patient/member data into relevant and actionable
information that enables physicians, ACOs, PCMHs, payers and TPAs to
manage and measure care against national quality standards for optimal
outcomes. Information can be shared in real time with all healthcare
stakeholders. MedHOK solutions address disease management and care
coordination, clinical quality and utilization review, and quality and
financial measures. ICD-10 compliant and HIE-ready, MedHOK solutions are
web-based, rapidly deployed and securely accessible on any device. The
company's 360Measures holds full 2011 HEDIS(R) certification.

Media Contact:
Liz Roop
NPC Creative Services
(813) 960-5092 ext. 302
liz@npccs.com

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