Accountable Care Organizations: A Comparative Analysis

Superior Essays
Comparing Coordinated Care Organizations and Accountable Care Organizations
We will be comparing and contrasting Accountable Care Organizations and Coordinated Care Organizations. We will define and discuss what Accountable Care Organization and Coordinated Care Organization are. Also will discuss some of the other features to include providers, governance, and payments. One of their similarities is managing their patients and to decrease the cost from managed care. Even though Accountable Care Organizations came out of the Affordable Care Act law. Coordinated Care Organizations came out of Accountable Care Organizations model.
Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other healthcare providers, who come
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In 2011, Oregon Governor John Kitzhaber, a physician, worked with the state legislature to create coordinated care organizations (CCO.), which have been described as ACOs on steroids. On the basis of the CCO structure, the state received a modification to its federal Medicaid waiver on July 5, 2012, for the Oregon Health Plan, allowing it to change its program design and receive additional financial support. The Oregon Health Plan includes Medicaid and the Children 's Health Insurance Program (CHIP) and is overseen by the Oregon Health Authority (Stecker, 2013). Coordinated Care Organization are group of individual providers, specialist, and hospital that work under one big umbrella to give the best quality care
Coordinated Care Organization features, according to ACO vs. CCO (n.d.),
1. Providers: removed if they fail to meet quality standards, may participate in more than one CCO, and emphasize prevention and work together to develop best practice for culturally appropriate care. Also may not unreasonable refuse to contract with a CCO. Can work with multitude CCO’s. Emphasis on prevention and nonmedical components to health.
2. Governance: majority interest of person that share finical risk, major components of health care delivery system, the community at large
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Yes CCOs is a community based and multitude providers, hospitals and specialist compare to one single unit for ACOs. Even though ACO do have multitude of providers, hospitals and services for them. The patient from the ACO cannot go outside of the network without permission from their primary care doctor, compare to the CCOs patients that can go outside their network without referrals. Accountable Care Organizations beneficiaries are Medicare customers and Coordinated Care Organizations members are Medicaid

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