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Accountable Care Organizations

Powering Return on Care™
for ACOs

Accountable Care Organizations
(ACOs)

AccuReports gives the Accountable Care Organization’s Chief Financial Officer a tool to measure the success of performance improvement initiatives. Care management and disease management programs abound, but tools to help the CFO know what efforts are working are uncommon. AccuReports completes a toolbox of analytic tools to measure the Return on Care™ for your initiatives.

What is return on care? Return on Care™ is the change in overall performance, both financial and quality, yielded from all the activities that go into care management: scheduling, office visits, RAPS coding, HEDIS gap closing, utilization management, transportation, coordination and all of it.

Services at a glance

CCLF file data-warehousing

Claims Consolidation

IBNR Estimation

Stop Loss Monitoring

Attribution vs. Server Analysis

Leakage Analysis

RAPS Equivalency Modeling

Benchmark vs. Actual Loss Ratio

Get Started Today!

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Optimize Performance with Data-Driven Insights

AccuReports cleanly organizes Claim and Claim Line (CCLF) files into an interactive matrix so that you can discover adverse utilization trends and act on them. FRG’s extensive experience with Medicare Advantage plans gives us unique expertise to help you quantify and apply all the other costs of doing business in a way that gives you the power to see what works and what doesn’t work.

FRG can help you in a variety of ways. Measure and Improve Preferred Network Practice Patterns with AccuReports Network Markups. Communicate Attribution Efficiently with AccuReports Patient List Report. Evaluate Server Relationships with AccuReports Claims with Rendering Provider. Identify High Cost Members AND Prioritize Outreach Efforts. Let FRG apply Completion Factors to help your Month-End Close process. Monitor your exposure and coordinate your Third Party Reinsurance file feeds. Apply risk adjustment to SEGMENT And FOCUS on your high risk members.

AccuReports

FRG has helped health plans and physician groups manage risk by presenting their operational and financial data concisely for analysis through AccuReports. Crisp & drillable formats enable users to spot trends, understand drivers, and improve financial performance.

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Audit Recovery

FRG provides ad hoc and ongoing claims audit and recovery services across the spectrum of claim types. We have recovered tens of millions of dollars for national Medicare plans and across as many as ten managed Medicaid states.

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Partner with FRG

Ready to elevate your ACO’s operational and financial performance?

FRG specializes in organizing and analyzing complex data sets like Claim and Claim Line (CCLF) files to help ACOs pinpoint adverse utilization trends and focus on high-risk members. With tools like AccuReports, we empower ACOs to measure and improve Return on Care™ while streamlining processes like month-end close and reinsurance file feeds. Let FRG be your trusted partner in driving better outcomes for your organization.

Call 888-466-1025 for more information or fill out form.

Let’s get started!

Request a demo to see how FRG can help your ACO achieve measurable success with AccuReports and tailored analytics solutions.

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