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By capturing the morbidity burden of populations, the Johns Hopkins ACG System helps explain and predict how health care resources are delivered and consumed. Some common applications include:
To see the ACG System in action and speak to a Team member about your specific needs, request a demo today.
Once targeted programs are identified and implemented, the ACG System can help determine their success—including patient characteristics associated with successful programs’ outcomes, changes needed, program continuation or termination. These analyses also quantify improvements related to specific interventions, which demonstrates program value to external parties.
With the ACG System you can identify up to 25% more individuals for care management before they become high utilizers. Optimize your case management and disease management programs by targeting individuals, assessing patient risk, and identifying those who would benefit the most.
Coordination exerts an important impact on both the efficiency and effectiveness of care. Patients most in need of highly coordinated care include those with multiple chronic medical conditions, concurrent care from several health professionals or many medications, and patients undergoing extensive diagnostic workups or transitions from one setting of care to another.
The ACG System Utilization Profile Report includes many concepts to evaluate population health, including concurrent and prospective risk, risk factors, utilization, disease prevalence, pharmacy adherence, and care coordination risk.
The ACG System performance analysis takes into account the health of the particular population served by a specific clinician or set of clinicians, addressing important differences in case mix and the often stated concern that “my patients are sicker.” Because a disease-based focus may miss important implications of related co-morbidities, we provide a holistic view of the patient rather than the management of specific diseases or episodes.
The ACG System is widely used by health plans and health systems for risk adjustment, setting capitation rates, insurance premiums and for appropriately distributing health care resources within large health systems. The ACG System helps health care providers, payers, and governments worldwide ensure that resources appropriately target populations in greatest need.
Prescription drug claims are processed at the point of service and prescribing events often occur with more frequency than physician events, providing more timely and frequent information. Three months of pharmacy claims can often be available immediately at the end of this period whereas medical claims from this same three-month-period may not be available for another three months.
The ACG System is the most widely used population-based case mix system in the world. Currently used in close to 20 countries, the System incorporates local cost structures, coding systems, practice behavior, languages and local markers for socio-economic, functionality, living arrangement, or other dimensions. Some international application examples are available by clicking on a specific country.