ACO Executive Directors

Protect your ACO’s shared savings with real-time visibility.

Healthmonix Prism™ gives ACO executive directors prospective, actionable intelligence across every value-based care contract. That means you can intervene during the performance year instead of waiting for reconciliation.

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We understand your challenges — and we address them

Shared savings leakage: Many ACOs leave 10–30% of achievable shared savings unrealized because care gaps surface only after the performance year ends.

Downside risk exposure: Entering a new downside risk track requires clarity on your financial exposure-before you commit, not after.

Fragmented clinical and claims data: EHRs, claims files, and payer feeds rarely align, leaving your team reconciling data instead of improving performance.

Retrospective-only data: CMS reconciliation happens once a year, but your performance shifts every month. Without prospective visibility, timely intervention isn’t possible.

Program complexity across contracts: MSSP, MVPs, ACO REACH, and AHEAD all have different rules. Managing them across multiple systems slows your team down.

How Healthmonix Prism™ helps

Healthmonix Prism™ is a unified ecosystem that centralizes your data, streamlines your workflows, and adapts in real time to evolving CMS, payer, and interoperability standards.

Unify your clinical and claims data: Prism connects EHR, claims, and registry data into a single, trusted source of truth — reducing manual reconciliation.

Enable prospective performance management. Prism highlights high-impact care gaps and utilization trends during the performance year, when you can still act.

Model your downside risk exposure. Understand the performance thresholds required to break even and identify the quality and utilization levers with the highest impact.

Manage every contract from one platform. MSSP, TEAM, ACO REACH, MVPs, and commercial payer contracts all run on a consistent, repeatable operating rhythm in Prism.

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Healthmonix by the numbers

$300M+

Shared savings secured for Healthmonix clients in 2024.

10–30%

Achievable shared savings many ACOs lose due to lagging data.

15+ years

CMS program expertise built into Prism.

Houston Methodist Coordinated Care ACO case study

Healthmonix developed a phased strategy to ensure HMCC would be ready for mandatory reporting by 2025.

See the Outcome

Answers for ACO Executive Directors

What is Healthmonix Prism?

Healthmonix Prism™ is a value-based care performance platform that unifies, normalizes, and activates clinical, claims, and operational data. It gives ACOs a single source of truth for managing performance across MSSP, MVPs, TEAM, and commercial contracts.

How does Prism help ACOs protect shared savings?

Prism identifies prospective care gaps and utilization trends during the performance year — giving your team time to intervene, close gaps, and recover savings that would otherwise be lost.

Can Prism help my ACO prepare for downside risk?

Yes. Prism models your financial exposure across performance groups and risk tracks so your leadership team knows the performance required to break even before committing. It also highlights the measures and utilization levers with the highest potential impact.

Your shared savings don’t have to wait until reconciliation

See how Prism gives ACO executive directors the visibility, financial modeling, and cross-contract performance management to protect shared savings and lead their organization into downside risk with confidence.

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