Population Health Management for Value-Based Care

Population health management for VBC success

Coordinate care across your entire patient community with our population health management tools, native to athenaOne®.

Get the data you need to manage your population

Simplify care coordination and engage patients wherever on the risk spectrum your organization falls. Our population health tools are native to athenaOne and surface the right data at the right time to improve outcomes.

An inline visual related to patient information or a briefing document.

Streamline care coordination

Provide the right care at the right time using data incorporated from across the healthcare ecosystem and surfaced directly in your clinical workflows.

Explore ChartSync

Close care and diagnosis gaps

Make it easier to address care and diagnosis gaps with alerts surfaced directly in the patient chart and automated outreach services to keep patients engaged.

Enhance care program visibility

Quickly identify which patients are enrolled in care programs to deliver targeted care and improve financial outcomes with athenaOne’s care program panel.

Photograph of a clinic exam room featuring individuals in scrubs attending to a seated patient amid medical equipment.

Ease the burden of VBC

See which patients have successfully satisfied care gaps to streamline value-based care reporting for quality programs and HEDIS® with our Data Explorer.¹

Explore value-based care

Population Intelligence for athenaOne

Successful value-based care for risk-bearing orgs

athenaOne’s Population Intelligence add-on is for organizations that bear risk directly on behalf of an attributed population. Access enhanced data and insights at the point of care through native analytics tools. Close care and diagnosis gaps faster and improve patient outcomes, quality metrics, and cost.

Learn more

See more of your patients’ care

Bring payer eligibility, attribution, and claims data into athenaOne with clinical and quality information to better understand your population and identify patients needing follow-up.

Understand where costs and care needs are concentrated

Use claims and clinical data to understand utilization and costs across your attributed population, identify patients for follow-up, and track progress toward value-based care goals.

Coordinate care across your attributed population

Coordinate follow-up in athenaOne across your attributed population, including patients cared for in other EHRs, and use payer insights to guide outreach within familiar workflows.

Drive even more VBC success

Webpage of athenahealth marketplace listing healthcare solutions.

Explore multiple ways to alleviate the burdens of value-based care reporting, including ACO support, with fully-integrated Marketplace solutions.

Explore our Marketplace

Frequently Asked Questions

athenaOne features extensive tools that support our customers regardless of where they are in their value-based care journey. From Day One, its native capabilities can help customers with the following:

Predict and identify patients who need care
Engage patients so they schedule necessary appointments
Deliver essential care while addressing any open care and diagnosis gaps
Coordinate care through native care management and referral management tools
Measure performance in valued-based programs using certified eCQMs, HEDIS® measures, and more¹

athenaOne natively ingests data from a variety of sources, including:

Labs
Imaging centers
Pharmacies
Vaccine registries
Prescription drug monitoring programs
HIE (including Carequality, Commonwell & the TEFCA framework)
Payer and ACO partners
And more
athenaOne has the most connected network in healthcare, allowing it to serve up all of those connections and exchange relevant data to surface the right information for the right user at the right time. Population Intelligence will expand that existing connectivity by ingesting data from additional sources, including:
Claims feeds
Payer eligibility files
Hospital discharge notifications
Other EHRs
Additional clinical data sources

Each organization that implements athenaOne can expect to derive value differently based on the opportunities unique to their specialty and care model. athenaOne is designed to support customers by helping to reduce their most time-consuming work, freeing them to focus on higher priority tasks.

Customers can experience ROI as:

Spending less time managing documents and more time with patients
Better clinical outcomes due to having relevant information surfaced in their workflows
Improved quality performance

If you are interested in learning how athenaOne could add value to your organization, click on the “Request a Demo” button to get a custom assessment.

athenahealth clinicians consistently outperform the nation in 2023 MIPS and eCQM performance.

79.02% of eligible athenaOne providers achieved Positive Payment adjustments in Traditional MIPS PY2023, compared to 75.43% nationally*
72.09% of eligible athenaOne Orthopedic providers achieved positive payment in PY2023, compared to 58.53% nationally*
92.02% of eligible athenaOne Women’s Health providers achieved positive payment in PY2023, compared to 81.40% nationally*
84.51% of eligible athenaOne Cardiology providers achieved positive payment in PY2023, compared to 72.37% nationally*

Additionally, athenaOne primary care clinicians consistently received high ratings for measures included in the 2024 Medicare Advantage Stars program, including:

94% received four stars or greater for Medication Review as part of Care for Older Adults+
93% received four stars or greater for Statin Therapy for Patients with Cardiovascular Disease+
61% received four stars or greater for Controlling Blood Sugar as part of Diabetes Care (measure weight: 3x)+
57% received four stars or greater for Controlling Blood Pressure (measure weight: 3x)+