Healthcare Outcomes
Access Medical Clinic is deeply invested in the well-being of elderly residents in rural communities. We strive to make a lasting impact in their lives and deliver meaningful results with our scalable, clinically integrated care model.
Proven Impact, Trusted by Partners
Access Medical Clinic specializes in providing care to older adults in rural nursing homes, long-term care, and skilled nursing facilities. Our dedicated primary care nurse practitioners deliver holistic, personalized care that helps keep patients healthy and active at all life stages.
Because our care model emphasizes prevention and early diagnoses and interventions, we have a proven track record of reduced hospital readmissions, emergency department visits, and re-hospitalizations.
Hospitalizations
Access Medical Clinic’s partner homes saw a 10.25% improvement in hospitalizations and performed 4.9% better than the national average in this area.
The number of emergency department visits from Access Medical Clinic partner homes overall was 27% better than the national average, and short-stay emergency department visits were 3.6% lower than the national average.
Short-stay re-hospitalizations were 8.6% lower than the national average, based on Access Medical Clinic partner homes.
Long-stay residents on antipsychotics at Access Medical Clinic’s partner homes were 61% lower than the national average, while new antipsychotic use for short-stay patients was 49% lower than national average.
Customizable Solutions for Facilities’ Needs
CCM & APCM — Chronic Care Coordination for Medicare Patients
These services provide continuous support and coordination for patients, rather than just treating issues as they arise:
- Non-face-to-face care coordination for eligible Medicare patients
- Dedicated care manager for every enrolled patient
- Ongoing monitoring and provider communication
- Patient Consents – Signed consent form on file
- Eligibility & Enrollment – Access Medical Clinic staff confirm & enroll
- Care Manager Assigned – Dedicated point of contact
- Ongoing Coordination – Monitors care, loops in provider
The Medicare Shared Savings Program (MSSP)
The MSSP is CMS’s largest value-based care model. Established in 2012, MSSP is a voluntary Medicare program in which groups of doctors, hospitals, and other providers form Accountable Care Organizations (ACOs) coordinate care for Medicare fee-for-service beneficiaries. ACOs that reduce costs while maintaining quality share in the savings with Medicare.
How Does MSSP Work?
- CMS Sets a Benchmark
Each ACO receives a per capita spending benchmark based on historical Medicare FFS costs for its assigned beneficiaries, adjusted for risk and regional trends. - ACO Manages Total Cost
Providers coordinate care to keep actual spending below the benchmark. Savings are often driven by reducing avoidable ER visits, hospitalizations, and post-acute spend. - Savings Are Shared
ACOs must meet quality standards (e.g., preventive care, chronic disease management) to unlock shared savings of up to 75%. ACOs are at risk for the downside scenario if costs exceed benchmark.
Illustrative Annual Shared Savings Projections
Attributed Medicare Lives
-
30
-
40
-
50
Shared Savings
-
$2,400
-
$2,400
-
$2,400
NH Portion of Shared Savings
-
$1,200
-
$1,200
-
$1,200
Total Shared Savings
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$36,000
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$48,000
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$60,000
Who We Work With
Access Medical Clinic supports skilled nursing facilities (SNFs), long-term care facilities (LTCs), and senior living communities with medical directors and mid-level provider staffing solutions. Partnering with Access Medical Clinic helps reduce hospital readmissions and improve patient outcomes.
