Accountability by your medical providers. How Long Does Coronavirus Live On Surfaces? And their teamwork could prevent mistakes. © 2005 - 2019 WebMD LLC. An accountable care organization (ACO) is a group of doctors, hospitals, and other health care providers that work together on your care. You don't enroll in an ACO. All rights reserved. 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 the Medicare patients they serve. By sharing information about your medical history and coordinating your treatment, your ACO doctors can provide better care. The ACO concept is one that is still evolving, but it can be generically defined as a group of health care providers, potentially including doctors, hospitals, health plans and other health care constituents, who voluntarily come together to provide coordinated high-quality care … Communication improves between your: Doctors and other health care providers will benefit from ACOs, too. It's not health insurance. ", Federal Register, Nov. 2, 2011: "Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations; Final Rule. Coordinated care. 7500 Security Boulevard, Baltimore, MD 21244, Medicare Shared Savings Program (cms.gov), Keystone ACO's Health Navigator Program to Identify and Close Care Gaps (PDF), Atlantic Dialysis Management Services' Patient Navigator Program (PDF), Center's for Dialysis Care's Patient Advisory Committees (PDF), Integra Community Care Network's Approach to Advance Care Planning (PDF), Silver State ACO's Provider Engagement Strategy (PDF), Southwestern Health Resources ACO Three-Day Rule Waiver: Approach to Communication and Implementation (PDF), Atrius Health: Improving Behavioral Health Care for Medicare Beneficiaries (PDF), Bellin Health Partners: The Evolution of Annual Wellness Visits (PDF), Boulder Valley Care Network's Provider Engagement Strategy (PDF), Coastal Medical's Leadership Academies: Investing in Staff Development and Collaboration (PDF), Henry Ford Accountable Care Organization's Beneficiary Engagement Strategy (PDF), Montefiore Accountable Care Organization's Provider Engagement Strategy (PDF), Partners HealthCare ACO and the Three-Day Rule Waiver: Implementation Approach and Lessons Learned (PDF), Rocky Mountain ACO's Approach to Care Coordination in Rural Areas (PDF), Rogosin Institute's Initiative to Promote Health Literacy (PDF), UnityPoint ACO's Home Visit Program (PDF), ACO: Accelerated Development Learning Sessions. Center for Medicare & Medicaid Innovation: "Accountable Care Organizations (ACOs): General Information. You do not have to be part of an ACO. They get paid more if they can show Medicare that your health is improving. Medicare offers several ACO programs, including: A series of three Accelerated Development Learning Sessions were held in select cities across the country. The organization is accountable to patients and third-party payers for the quality, appropriateness and efficiency of the health care provided. ", Medicare.gov: "Accountable Care Organizations. They use alternative payment models, normally, capitation. An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. That includes your medical history, conditions, and prescriptions. Important Vitamins and Minerals for Adults, Medicare Plan Ratings: Choosing the Best Plan, Changes to Medicare With the Affordable Care Act, Medicare Caregiver Support, Benefits, Planning, Medicare & Marriage: Spouse Eligibility & Coverage, Medicare Special Needs Plans for Chronic Conditions, Doctors, hospital, and long-term care providers. Part of the advantage of an ACO is that your doctors will share information to improve your care. Also, ACOs must have a specific plan in place to improve your health, particularly if you have more than one chronic condition. ACO providers are rewarded for working together on your treatment no matter where you get your care -- including doctor’s offices, hospitals, and long-term care facilities. Let's say you see two different specialists, one for diabetes and another for a heart condition. You might end up having the same tests more than once. In this video clip, learn more about Medicare ACOs and hear directly from the health care professionals making this care possible. ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients. It's something your doctor decides to create for their patients, following guidelines from Medicare. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts. Sign Up to Receive Our Free Coroanvirus Newsletter. That means you can see a doctor in an ACO and doctors who are not in ACOs. Accountable Care Organizations (ACOs) are one way that we’re working to better coordinate your care. But if you're in an ACO, this is much less likely to happen. Their goal is to give you -- and other people on Medicare -- better, more coordinated treatment. That means lower out-of-pocket costs for you. ", U.S. Department of Health and Human Services: "Accountable Care Organizations: Improving Care Coordination for People with Medicare.". WebMD does not provide medical advice, diagnosis or treatment. If your doctor has decided to participate in an ACO and you have Original Medicare, you will get a written notice from your doctor or there will be a poster in your doctor's office about your doctor’s participation in an ACO. What is an Accountable Care Organization? Here are answers to questions you might have about ACOs. 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. You may have a “care coordinator” such as a social worker or nurse to help make sure you get the care you need. They must show that you are getting preventive services, like a flu shot or a colonoscopy. You do not have to change doctors. When different experts are working together to help you, you're more likely to get the care you need, when you need it. ACOs make sure that everyone who cares for your health is in touch with everyone else on your team. The health care providers in your ACO get a share of those savings. ACOs in the United States are formed from a group of coordinated health-care practitioners. Together, they can keep you from having costly tests or treatments you don't need. Your ACO will be judged on 23 quality measures. Additional information on each Session can be accessed below: General information on ACOs can also be found at cms.gov/aco and this hhs.gov ACO Fact Sheet. The team will work to keep you healthy and out of the hospital. Better care, lower costs. These FAQs can help. How do accountable care organizations work? One doctor may not know what the other is recommending. Coordinated care helps ensure that patients, especially the chronically ill, get the right care at the right time, with the goal of avoiding unnecessary duplication of services and preventing medical errors.

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