What is an ACO?

Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their people with Medicare Fee-for-Service.

The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.

When an ACO succeeds in both delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.

ACOs Goals:

1.      To lower the cost of providing care

2.      To improve transparency and communication

3.      To improve access to healthcare

4.      To improve quality care

5.      To facilitate the coordination of care

 

Why should I be a participating physician in the ACO?

The idea of creating a successful ACO can appear daunting. What is relatively certain, however, is that the current health care delivery and payment systems are unlikely to continue in their current forms. This provides a fertile environment for innovation.

The Medicare Shared Savings Program will reward ACOs that lower their growth in health care costs while meeting performance standards on quality of care and putting patients first.

CMS established the Medicare Shared Savings Program (the “MSSP”) to facilitate coordination and cooperation among health care providers through ACO’s to improve the quality of care for Medicare beneficiaries, while reducing unnecessary costs. A shared-savings program created by the Patient Protection and Affordable Care Act (PPACA) allows accountable care organizations (ACOs) to receive incentive payments in addition to regular fee-for-service payments.

 

For more information please visit CMS.GOV. (http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/) Or call below number

  • Medicare Service Center: 800-MEDICARE (800-633-4227) 
  • Medicare Service Center TTY: 877-486-2048

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