The Affordable Care Act established Accountable Care Organizations (ACOs) as voluntary groups of physicians, hospitals, and other health care professionals who accept responsibility for the overall quality, cost, and care of a defined group of Medicare beneficiaries. When Medicare saves money on services because a patient population is healthy, it splits the savings with participating ACOs. And Medicare is not the only payer with a shared savings program; most private payers now offer value-based contracts.
The catch is proving you kept patients healthy and saved the payer money, which can be a challenge. TMA answers frequently asked questions and provides current information on ACOs and steps you can take to get involved.
What Are Current ACO Requirements?
What exactly is value-based care and shared savings?The basic concept is simple: if a physician network/ACO can successfully manage the health of its overall patient population, achieve better clinical outcomes, and reduce total health care spending, patients fare better and physicians share in the cost savings.
What Do Market Changes Mean for My Existing Practice?
The Payment Reform Glossary, a free resource developed by the Center for Healthcare Quality and Payment Reform
Effects of Health Care Payment Models on Physician Practice in the United States - RAND Corporation, 2015
Providers, Payers Need to Mend Relationships to Make Value-Based Care System Successful - Modern Healthcare
Can Physician-Led ACOs Keep Physicians Independent? - Healthcare Dive
Got Accountable Care questions? Call the Knowledge Center.
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