In an effort to highlight Caravan Health client success stories and best practices, each week a ‘Spotlight’ is written to showcase these successes. These Spotlights include best practice scenarios and offer ACO professionals an opportunity to learn from their peers. The Spotlights provide valuable information and in order for these resources to be easier to access, we have compiled them into one e-book.  

We've compiled these stories into our ACO Playbook: Spotlighting Successful Strategies, a collection of client Spotlights from the nation’s leader in accountable care. Topics include lessons learned, best practices, and successes related to population health methodologies. The Spotlights highlight Caravan Health clients of all sizes and locations – some are new to accountable care while others are experienced in value-based care. The e-book is formatted by category and facility type to make it easy for readers to access the topics most relevant to them. 

Overarching topics include Advance Care Planning, Annual Wellness Visit, Behavioral Health Integration, Hierarchical Condition Category Coding and more including, but not limited to, Quality Measures, Preventive Screening, Team-based Care and Virtual Care.  

Some examples of the content include a population health success from Bingham Memorial Hospital. Staff and providers used Caravan Health data to identify patients who were exceeding the state average of using sleep aids. By educating patients and working with them to taper the meds safely and slowly, Bingham reduced controlled prescription use in their patients by 50%.  

…the patients are very appreciative of the care and consideration shown by our practice and the team approach taken to aid in their care.

Brian W. Carrigan, MD, FAAFP 

In an example of successful team-based care, Lane Regional Medical Center has prevented unnecessary emergency department visits by proactively contacting their chronic care management patients.  

Our approach has been to increase our outreach to our patients…we’ve made sure they understand the phone works both ways – we are encouraging them to call us as well. 

Amy Rome, RN 

The Spotlight on McFarland Clinic shares insight into how they have led their Caravan client peers in HCC recapture two consecutive years. In 2020, 88% of McFarland’s patients were coded with one or more chronic illnesses.  

At McFarland Clinic, providers are responsible for their own coding, both CPT and ICD-10. The automated HCC alerts…have helped improve our HCC recapture.

Austin Lepper, Director of Population Health 

The ACO Playbook: Spotlighting Successful Strategies will be updated on a quarterly basis with the latest success stories. Future content will continue to align with relevant topics including the 340B drug discount program, telehealth implementations, using Caravan’s award-winning technology, Caravan Coach, and how clients are improving the quality of health care with value-based methodologies. 

To access the ACO Playbook click here and to contact us to learn more about Caravan Health and to speak with one of our experts contact us at

Recent Resources

CMS Actions in Response to the COVID-19 Public Health Emergency

The Centers for Medicare and Medicaid Services just issued a lengthy set of policy changes to address the growing COVID-19 public health emergency (PHE). These changes will help hospitals and health providers to respond to the crisis more quickly and safely, including many more options for telehealth in Medicare.

ACO, Policy, Webinars & Events, Quality, Value-Based Care, COVID-19

Stop Standing Still: How to Get Started in a High-Performing Caravan Health ACO

Tuesday, September 24 at 9:00am PT / 12:00pm ET

ACO, Webinars & Events

10 Reasons ACOs Can Fail

Just published in Becker’s Hospital Review – Caravan Health Senior Vice President Tim Gronniger discusses ten reasons Accountable Care Organizations can fail.

ACO, Blogs & News, Value-Based Care


NEWS: Signify Health Completes Acquisition of Caravan Health

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