Accountable care organization
This presentation is the property of its rightful owner.
Sponsored Links
1 / 6

Accountable Care Organization PowerPoint PPT Presentation


  • 121 Views
  • Uploaded on
  • Presentation posted in: General

Accountable Care Organization. HealthCare.gov Accountable Care Organizations : Improving Care Coordination for People with Medicare. Need for Coordination of Care. Provider focus of activity Patient Obligations absent

Download Presentation

Accountable Care Organization

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Accountable care organization

Accountable Care Organization

HealthCare.gov

Accountable Care Organizations: Improving Care Coordination for People with Medicare


Need for coordination of care

Need for Coordination of Care

  • Provider focus of activity

  • Patient Obligations absent

  • Implied goal to reduce re-admissions and save $960 Million per year via aggressive outside of hospital care.


Goals

Goals

  • Deliver seamless, high quality care.

  • Patient centered

  • Patient and providers are partners in care decisions.

  • Partnership in responsibility and economic risk is absent.


Shared savings

Shared Savings

  • Risk model of capitation? FFS? Care Management? Shared savings?

  • Linkage between physicians in hospitals is implied but not specific.

  • Need for large, sophisticated physician group practice arrangements.

  • 5000 beneficiaries for at least three years

  • Medicare beneficiaries on the ACO Governing Board.

  • Beneficiary assignment vs. attribution


Measuring quality improvement

Measuring Quality Improvement

  • Auditable reporting of performance on over 30 quality metrics.

  • Reports on provider performance.

  • Options to select out of network providers?


Take away points

Take Away Points

  • ACO’s have a low probability of adoption in Alaska. HMO’s and capitated products never gained acceptance in this market.

  • Few communities in Alaska have the infrastructure and continuum of care to embrace ACO’s as a delivery model.

  • Low probability of provider acceptance.

  • Very high economic exposure to out of network expenses.


  • Login