A Primer on Accountable Care Organizations. Raymund C. King, MD, JD, FICS Law Offices of Raymund C. King, MD, JD, PLLC Plano, Texas TASCS 2013 Annual Meeting – Houston, TX November 8, 2013. Historical and Projected Number of Medicare Beneficiaries and Number of Workers Per Beneficiary.
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Raymund C. King, MD, JD, FICS
Law Offices of Raymund C. King, MD, JD, PLLC
TASCS 2013 Annual Meeting – Houston, TX
November 8, 2013
Number of Beneficiaries (in millions)
Number of Workers Per Beneficiary
SOURCE: 2010 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds.
Accountable Care Organization and Number of Workers Per Beneficiary
“Groups of providers that have established structures for reporting quality and cost of health care, leadership and management that includes clinical and administrative systems; receiving and distributing shared savings; and shared governance.”
Providers sign agreement to participate with an ACO
PCPs must be exclusive to one ACO
Specialists can be part of multiple ACOs
Patients are assigned to their PCP based on the majority of their outpatient E&M visits
These are YOUR existing patients and those of your other ACO members
The Bottom Line and Number of Workers Per Beneficiary
Questions? and Number of Workers Per Beneficiary