Care transitions remain one of the most challenging moments in value-based care. Even for high-performing Accountable Care Organizations, delays in discharge documentation, fragmented hospital records, and administrative burden can make timely post-discharge follow-up harder than it should be.
Palm Beach ACO — one of the nation’s largest physician-owned ACOs — recognized that as discharge volume and network complexity increased, ensuring timely access to clear, usable clinical information became a strategic priority. Providers already had visibility into discharges. The challenge was what came next.
Palm Beach ACO partnered with Cascala to improve how discharge documentation and hospital records were delivered, summarized, and made actionable for care teams and primary care physicians — without disrupting existing workflows.
The results included meaningful improvements in the speed and reliability of discharge documentation delivery, reduced administrative effort for practices, and clearer clinical context to support Transitional Care Management and post-discharge follow-up.
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