Anceta is AMGA's collaborative for improving population health through
comparative clinical analytics, conducted in partnership with Humedica, an Optum
company. Humedica provides unparalleled clinical analytics, which Anceta uses as
a springboard for collaborative shared learning. Our goal is better health
outcomes at lower overall cost. We focus on ambulatory care for patients with
chronic conditions, who collectively account for more than 70 percent of
ambulatory work RVUs.
Focusing on ambulatory care for chronic conditions—especially the majority of
such patients who have multiple chronic conditions—Anceta creates provocative
analyses, looking at the relationships among care processes, clinical outcomes
and (standardized) cost.
A consistent theme emerges from the comparative data: We see some
differences across medical groups in patient outcomes, but there’s much
greater variation in the care processes by which those outcomes are
achieved—and thus in cost. There are big differences in the use of costly
medications and expensive procedures, in the number of office visits, and in the
use of specialists. Also in how care teams are organized and in how patients are
educated and engaged. Although most groups are carefully monitoring outcomes,
they may not be aware of these substantial differences in care process and cost.
Even with elegant analytics, optimal care processes won’t just fall out of
the data. Some outcomes and some aspects of care are reflected only indirectly
in the data, even the detailed EHR data. But apples-to-apples comparisons can
highlight groups with superior performance in various aspects of care. Anceta
brings groups together to learn "the rest of the story" from each other. We use
the data to determine what to improve, and we facilitate shared learning
about how to improve.