What matters for ACOs

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Information about What matters for ACOs
Health & Medicine

Published on March 7, 2014

Author: CureMDHealthcare

Source: slideshare.net

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What matters for ACOs

What matters for ACOs © CureMD Healthcare

ACOs • More than half of the US population resides within the vicinity of an Accountable Care Organization (ACO), a healthcare delivery model in which a group of providers are accountable for the cost and quality of care for a specific number of patients • The network of ACOs is by no means a measure of their success • ACOs are trying to promote a uniform payment structure using the Medicare quality metrics as the baseline, but have largely been unsuccessful because of lack of incentives and an effective standard

ACOs • Additional funding is required to test value-based measures for ACO contracts which the federal government can help with • Furthermore, collection and aggregation of under-65 claims data should be mandated or encouraged • While Medicare data is readily available for tracking the impact of ACO formation and performance, there is virtually no method to calculate the impact of the commercially insured and Medicaid populations • Less than a dozen states have all-payer claims databases and very few of them report on total cost of care

Formation of ACOs • Formation of ACOs will have different effects on care, prices and spending across markets • Without clear information on outcomes and costs, consumers will have no way to assess value and it will be impossible to evaluate ACO implementation on a regional or national level • The importance of practice and accurate measurement of ACO performance cannot be overstated • We need better measures and need to know what is happening beyond Medicare

Read more on blog.curemd.com • To read more on this topic, visit: • http://blog.curemd.com/what-matters-for-acos/

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