The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants

On Medicare ACOs

6 Responses

1. Hope R. Hetico RN MHA, on January 28, 2015 at 8:00 AM said:

   Medicare

   The Obama administration just outlined ambitious new goals to transform the way that the gargantuan Medicare program pays doctors and hospitals by rewarding providers that achieve better outcomes for patients rather than those that just do more.

   http://www.msn.com/en-us/news/politics/medicare-to-transform-how-it-pays-doctors-and-hospitals/ar-AA8Cx4c?ocid=iehp

   The move away from so-called fee-for-service medicine is a central, if little recognized, goal of the Affordable Care Act, which the president signed five years ago.

   Hope R. Hetico RN MHA

   LikeLike
2. Ann Miller RN MHA, on January 29, 2015 at 3:24 AM said:

   Well done
   http://e.infogr.am/enter_the_certified_medical_planner?src=embed
   Ann Miller RN MHA

   LikeLike
3. Hudson, on March 19, 2015 at 1:28 PM said:

   More on Accountable Care Organizations

   Accountable Care Organizations (ACOs) are one way of working to better coordinate your medical care. For example, if your doctor has decided to participate in an ACO and you have Original Medicare, you’ll be notified, either in person or by letter.

   How ACOs work

   Local health care providers and hospitals volunteer to work together to provide you with coordinated care.

   The doctors and other providers who are helping care for you will communicate with each other, and partner with you in making health care decisions.

   You may spend less time filling out medical history paper work because your doctors may already have this information in an electronic health record.

   You’ll likely have fewer repeated medical tests because your doctors and hospitals will share information and coordinate your care.

   You’ll be in the center of care, and your doctors will be better able to keep you informed, and to keep listening and honoring your choices.

   Unlike HMOs, managed care, or some insurance plans, an ACO can’t tell you which health care providers to see and can’t change your Medicare benefits.

   How ACOs share information

   Your doctors use data from Medicare to help improve how they provide care.

   For example, your doctors will get your medical information from Medicare to help them to know your medical history, including your medical conditions, prescriptions, and visits to the doctor, and give you the right care at the right time in the right setting.

   Doctors, hospitals, and other health care providers working together in an ACO are able to read your medical records, along with other office staff authorized to help coordinate your care.

   The privacy and security of your medical information is protected by federal law. You’ll continue to get the same rights enjoyed by all people with Medicare.

   Maybe …..

   Hudson

   LikeLike
4. Hope R. Hetico RN MHA, on April 8, 2015 at 3:29 AM said:

   Medicare Awards Doc Practices Few Bonuses Under New Value-Based Modifier

   So far, few provider practices have benefited from the CMS’ value-based payment modifier program, according to agency data. The payment initiative, outlined in the Affordable Care Act, is meant to encourage physicians and practice groups to provide high quality and cost-effective care. Eventually, the value modifier will apply to all healthcare practitioners, but this year, it was voluntary and applied only to groups of 100 or more eligible professionals.

   As many as 1,278 groups fit this category, but only 127 groups elected to be evaluated under the modifier. Of those, 106 had sufficient data to calculate cost and quality information, according to the CMS. Ultimately, 81 practices received no additional adjustment, 14 practices qualified for an upward adjustment, and 11 practices received a downward adjustment. Beginning in 2016, the modifier will apply to groups with at least 10 or more eligible professionals, and it won’t be optional. In 2017, it will apply to all groups and to solo practitioners who are physicians. And in 2018, the CMS will apply it to non-physician eligible professionals as well.

   Source: Virgil Dickson, Modern Healthcare [4/6/15]

   LikeLike
5. Karley, on July 25, 2016 at 3:33 PM said:

   ‘Next Generation’ ACOs: 4 Factors for Success

   As accountable care organizations mature, quality improves and savings mount.

   http://www.hhnmag.com/articles/7479-next-generation-acos-success-factors?utm_campaign=072516&utm_medium=email&utm_source=hhndaily&utm_source=hhndaily&utm_medium=email&utm_campaign=072516&eid=254592437&bid=1476883

   Karley

   LikeLike
6. Dr. Anonymous, on May 23, 2017 at 10:53 AM said:

   ACOs – NOT!

   ACOs cannot possibly work as long as they must labor under three handicaps: high doctor and patient turnover, limited ability to focus on the sickest patients because CMS is shunting sicker patients away, and few ACO patients per ACO doctor.

   Dr. Anonymous

   LikeLike