how does an aco work

This is intended to improve quality and health outcomes for patients across the ACO, and achieve cost savings for Medicare, employers and patients. Learn more about Accountable Care Organizations here. 36. Eliminating duplicative tests is another route to savings. An Accountable Care Organization (ACO), is a network of doctors, hospitals, and other healthcare providers that work together in an attempt to provide coordinated care to patients while eliminating unnecessary spending. The ACO assumes partial risk in the partial capitation payment arrangement. The program is designed to work in coordination with private payers by aligning provider incentives. How do ACO’s work? Under Track 2, ACOs that achieve a specified minimum savings can share in up to 60 percent of the savings. It can be as simple as making sure patients receive regular follow-up visits and stay on their medications. Many ACOs even have special care coordination … First, physicians should help their facilities determine their readiness to work with ACOs. Part of their payment from Medicare is based on how well they meet those goals. Like Sony does for TVs, Miller says, an ACO brings together the different component parts of care for the patient – primary care, specialists, hospitals, home health care, etc. Learn more about this key organizational strategy within the transition to value-based care. Accountable Care Organizations page 2 How does the PCMH fit into an ACO? Track 1 ACOs do not take on downside risk for the three-year period. In an ACO, primary care physicians act as the quarterbacks, collaborating with other ACO providers across the spectrum of services to ensure that a patient receives the most appropriate care. Like Sony does for TVs, Miller says, an ACO would bring together the different component parts of care for the patient – primary care, specialists, hospitals, home health care, etc. ACOs and You. Moving your practice to the PCMH model is a great way to assure that you can demonstrate both quality and efficiency to If an ACO is unable to save money and/or meet the … An area that AMDA is actively working on: What quality measures are appropriate to the population served? What information technology will be needed for the facility and the physician to meet the analytic needs of the ACO model? ACOs that cut costs and save Medicare money are entitled to keep a portion of these savings. that all parts work together. – and ensures that all of the “parts work well together.” ACOs work to improve quality and lower costs. 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