Embedding Clinical Intelligence to Transform Medicare Shared Savings Program Outcomes at Scale

Improving performance in the Medicare Shared Savings Program (MSSP) requires more than retrospective analytics or clinician education. This session examines the impact of integrating risk adjustment and quality gap closure prompts directly into clinical workflows across a complex ambulatory network. The intervention led to a projected $14.9 million in shared savings, driven by a 20-percent improvement in HCC revalidation and 22 percent more quality gaps closed. Attendees will explore how aligning decision support with routine care delivery improves documentation accuracy, supports pre-visit planning, and enables physicians to meet MSSP performance thresholds without added administrative burden. The session offers a replicable model for enhancing financial and clinical outcomes in value-based care environments through embedded intelligence and physician-centered design.