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Explore the concepts of Patient Centered Medical Home (PCMH) and Accountable Care Organization (ACO), including qualifications, roles, and comparisons, with case studies and insights on shifting accountability in healthcare.
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Accountable Care Organization (ACO) • What is it and what qualifies? • Differences between an ACO and an insurance company • The CMS Model • Roles of a payer and partner • Threats and opportunities
Examples / Case Studies • Comparison to failure of the 1990’s • How does Medical Home fit? • Keys to an ACO relationship • Financial • Roles • Governance
Shifting Accountability • Potential Customers • Questions?
Patient Centered Medical Home (PCMH) • History • Attributes • Axis’ of change • Physician involvement • Chronic diseases • NCQA Certification
Communication • Continuity of Care • Results • Conclusion • Questions