OIG Series Blog 3: Managing Beneficiaries with Costly or Complex Care Needs

As a former bedside ICU nurse, I have witnessed numerous patients who reached a breaking point in their condition management. Whether their worsening was related to overlooked social determinants or the neglect of their treatment, I am a witness to the impact of proper care coordination when it comes to managing the highest-risk beneficiaries. Careful coordination not only positively affects patients but results in tremendous reductions in spending from the value-based care perspective. Today, we are continuing our advisor analysis of the latest Office of Inspector General (OIG) report about 20 high-performing accountable care organizations (ACOs) who each earned well-deserved …