Succeeding with the ACO model

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Information about Succeeding with the ACO model
Health & Medicine

Published on March 6, 2014

Author: CureMDHealthcare



Succeeding with the ACO model

Succeeding with the ACO model © CureMD Healthcare

ACOs • The underlying feature in all of these models including Accountable Care Organizations is that they are designed to help providers get ready for reimbursement changes while sustaining a business model for the future • The starting point – The most important question for many organizations is how to start these efforts, and at what point. It depends on: • An organization’s readiness to change the current structure • A strategic plan • Management’s readiness • The projected budget

Managing Risks • Managing risk and optimizing rewards – Risk-based approaches are becoming very common as early adopters become more experienced – Many of these strategies focus on member incentives and engagement – Early experiences with these models illustrate that it is not enough to solely rely on provider incentives to drive appropriate utilization – The insurance side must also align members with the desired quality objectives – An example would be to reduce or eliminate co-pays for diabetic members to improve medication and treatment compliance

Begin Now • The time to begin is now – There are still many organizations playing the “wait and see” game – Their management is unwilling to acknowledge that the healthcare industry is undergoing a dramatic shift – As a result, they are not investing their time and resources to move towards better integration – As a suggestion, the waiting game is not the right option at the moment when there are revenue-generating strategies available immediately

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