Accountable care organization is described as an organized group of providers that coordinates the care for designated beneficiaries in the traditional Medicare fee for service program. Who are the members of the ACO? According to the Centers for Medicare & Medicaid Services, members of ACO are a group of doctors, hospitals, and other healthcare providers who volunteer to coordinate quality care especially to elderly. ACO focuses more on chronic conditions that involve high cost (Kongstvedt P 2016 ). The Uncontrolled cost of health care brought American health care providers and payers effort to bend the cost curve and moderate the growth of cost. The ACO role is the control of the cost while maintaining quality. The group imposed the safety
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Lewis V. At all emphasize that health savings account (HAS)- level characteristics associated with ACO presence include higher performance on quality, higher Medicare per capita spending, fewer primary care physician groups, greater managed care penetration, lower poverty rates, and urban location. Its detailed elements determine the contract and the implementation of the organization. For instance, physicians who are in an ACO, are held accountable for quality care they deliver and health cost for a certain category of patients, a minimum of 5.000 patients must be enrolled in an ACO to be eligible under the patient protection affordable care act(ACA, 2010). In addition, members of ACO are required managerial expertise including organizational culture and teamwork, external network, IT which is an infrastructure for good management, care, and utility management; a skilful member who is able to manage and coordinate operations between parties, including payment and patient support educational information. Throughout the literature, policymakers believe that ACO model incorporates some of their lessons learned from the …show more content…
Lewis V et al (2012) said that we hypothesize that regions with higher levels of disadvantage will be less likely to have ACAs form, either because the providers serving these regions may be less confident in their ability to achieve cost and quality benchmarks for their patient population. Is the rapid growth of health care demand affect the ability of ACOs to coordinate care and cost effectively? Today, the empirical support of ACOs to their goal still
Lewis V. At all emphasize that health savings account (HAS)- level characteristics associated with ACO presence include higher performance on quality, higher Medicare per capita spending, fewer primary care physician groups, greater managed care penetration, lower poverty rates, and urban location. Its detailed elements determine the contract and the implementation of the organization. For instance, physicians who are in an ACO, are held accountable for quality care they deliver and health cost for a certain category of patients, a minimum of 5.000 patients must be enrolled in an ACO to be eligible under the patient protection affordable care act(ACA, 2010). In addition, members of ACO are required managerial expertise including organizational culture and teamwork, external network, IT which is an infrastructure for good management, care, and utility management; a skilful member who is able to manage and coordinate operations between parties, including payment and patient support educational information. Throughout the literature, policymakers believe that ACO model incorporates some of their lessons learned from the …show more content…
Lewis V et al (2012) said that we hypothesize that regions with higher levels of disadvantage will be less likely to have ACAs form, either because the providers serving these regions may be less confident in their ability to achieve cost and quality benchmarks for their patient population. Is the rapid growth of health care demand affect the ability of ACOs to coordinate care and cost effectively? Today, the empirical support of ACOs to their goal still