Healthmonix Advisor

Healthmonix has done it: Quality reporting success for MSSP ACOs at scale

Posted by Lauren Patrick on April 15, 2025

As value-based care matures, MSSP ACOs face mounting complexity in quality reporting — across EHRs, payers, and evolving CMS requirements. At Healthmonix, we don’t just promise solutions. We’ve already delivered them — at scale, across diverse ACOs, and in direct partnership with forward-thinking healthcare leaders. 

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We’ve navigated the split: Medicare CQM vs. all-payer CQM/eCQM 

The quality reporting field has split into 2 paths: 

  1. Medicare CQMs for compliance and shared savings eligibility 
  2. All-payer CQMs and eCQMs for population-wide insight and readiness for future value-based contracts 

Healthmonix has built the infrastructure for both. Our platform supports CQM and eCQM reporting across Medicare and commercial populations, ensuring you're compliant and competitive. 

This isn’t theory. This is real performance. 

The data below comes from ACOs we support. We’ve uncovered — and closed — real care gaps. 

🔴 Diabetes: Hemoglobin A1c Poor Control (>9%) 

This is an inverse measure where lower performance is better. Healthmonix helped clients understand documentation variances, misaligned denominators, and measure logic gaps, leading to more accurate reporting and improved care strategies. We’ve driven poor performance down, leading to scores in the top decile of the measure performance for our ACOs. 

🟢 Depression Screening and Follow-Up 

We’ve helped ACOs improve from 11% to over 99% with screening rates, then diagnosed why those improvements didn’t always translate to performance scores. This bridges the gap between clinical work and documentation.   

🔵 Controlling High Blood Pressure 

Healthmonix identified marginal gain opportunities that added critical points to ACO quality scores, even for high performers already near the top percentile.  We’ve worked hand-in-hand with ACOs to maximize their performance. 

We’re not just supporting ACOs. We’re transforming them. 

📣 Client proof: Multi-EHR integration and outcome optimization for Northwell Health 

“We’ve gone from manual to automated reporting across fragmented systems, driven by CMS requirements and made possible by Healthmonix.” 

“The [Healthmonix] Analytics tool helped us uncover trends across our large population. That led to better-targeted interventions and real improvements in our quality scores.” 

- Northwell Health 

Healthmonix helped Northwell Health prepare for an Epic transformation, align workflows across EMRs, and build AI-readiness into their reporting infrastructure, all while maintaining compliance and improving outcomes. 

📣 Client proof: Houston Methodist Coordinated Care ACO 

“We have 14 different EHRs, and Healthmonix built a centralized dashboard that gives us transparent quality data at the ACO, practice, and physician level.” 

“Healthmonix not only aggregates and submits our data to CMS. They’re our weekly strategic partner. This relationship is critical to our ACO’s success.” 

- Houston Methodist

Houston Methodist Coordinated Care ACO isn’t planning for the future — they’re living it now. And Healthmonix is right beside them, helping them build a commercial VBC model that mirrors ACO success. 

Healthmonix is built for what’s next 

We’ve already:  

 ✅ Integrated data across 35-plus EMRs 

 ✅ Delivered dashboards that drive actionable feedback 

 ✅ Submitted data successfully to CMS year over year 

 ✅ Elevated performance across all-payer measures 

 ✅ Helped ACOs plan for new CMS metrics and future benchmarks 

Want to know how you can succeed in value-based care? 

Ask our clients. Or better yet, ask us. We’ll show you what we’ve done, what we’re doing, and what we can do with you

Schedule a call

Topics: ACO, Quality Performance Category