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3 Responses

  1. What it is?

    An Accountable Care Organization (ACO) is a network or group of healthcare providers that works together to coordinate patients’ medical care and chronic disease management. About one in five doctors say their organization is, or will be part, of an ACO going forward.

    ACOs will [should] make it easier to share medical information about patients through use of electronic medical records. ACOs also will [should] allow medical teams to provide better continuity of care. And, ACOs should [may] help reduce waste by avoiding duplicate lab tests, screenings, or other care.

    ACOs were originally part of Medicare. The network’s ability to control costs and provide quality care determines the Medicare payment it receives from the federal government.

    In the last year, commercial ACOs have grown, with up to 14 million privately insured patients using ACOs. These commercial ACOs generally contract with multiple insurance companies to deliver quality, cost-effective care.

    Grantham

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  2. About 60% of Physician Practices Avoiding ACOs, Study Finds

    The majority of physician practices have not joined an accountable care organization and don’t plan to anytime soon, a new study has found. These reluctant medical groups are also less likely to have the resources—electronic health records, care coordinators, formal quality improvement initiatives—to effectively manage the costs and care for chronically ill patients, the study said.

    The results, published online in the journal Health Services Research, show that roughly 6 of 10 physician groups have so far avoided accountable care, a proliferating payment model that rewards and penalizes hospitals and doctors based on their ability to meet cost and quality targets. Medicare accountable care efforts, launched in 2012 under the Patient Protection and Affordable Care Act, now include more than 350 organizations. Private insurers have entered into more than 600 accountable care contracts, according to estimates by healthcare consultant Leavitt Partners.

    Source: Melanie Evans, Modern Healthcare [3/18/14]

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  3. MEDICARE BUNDLED PAYMENTS
    https://www.healthcapital.com/hcc/newsletter/01_20/HTML/PAYMENT/convert_bundled_payment_hc_topics_1.21.20a.php
    Dr. David E. Marcinko MBA

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