What is an example of an ACO?

What is an example of an ACO?

Many ACOs will also include hospitals, home health agencies, nursing homes, and perhaps other delivery organizations. Some examples are Kaiser Permanente, Group Health Cooperative of Puget Sound, and Geisinger Health System.

What is the meaning of ACO?


Acronym Definition
ACO Annual Cost of Ownership (finance)
ACO Access Control Object
ACO American Cornhole Organization
ACO Automatic Cut Off

What is bundled care in healthcare?

A payment structure in which different health care providers who are treating you for the same or related conditions are paid an overall sum for taking care of your condition rather than being paid for each individual treatment, test, or procedure.

What is the concept of bundled care?

Under bundled payment, providers assume accountability for the quality and cost of care delivered during a predetermined episode. Providers that keep costs below a risk-adjusted target price share a portion of the resulting savings, but those that exceed the target price incur financial penalties.

What is accountability in healthcare?

Abstract. Accountability has become a major issue in health care. Accountability entails the procedures and processes by which one party justifies and takes responsibility for its activities.

How are ACO providers paid?

At the base of the ACO payment structure are incentive payments. Providers in the ACO receive fee-for-service payments throughout the performance period. At the end of the period, payers adjust the payments based on the ACO’s quality performance on specified metrics.

What are the risks of bundled care in healthcare?

The most significant potential undesired effects include underuse of effective services within the bundle, avoidance of high-risk patients, and an increase in the number of bundles reimbursed (increasing health spending).

Why are accountable care organizations important?

ACOs are structured to create an incentive to be more efficient by offering bonuses when providers keep costs down. They must carefully manage consumers with chronic conditions, focusing on prevention, to impact utilization of services and reduce overall costs of care.

Why is accountability important in healthcare industry?

In the healthcare industry, accountability is incredibly important. A lack of accountability in healthcare can cause significant damage to your organization. A culture of accountability in healthcare improves doctor-patient trust, reduces the misuse of resources, and helps organizations provide better quality care.

What is the difference between MCO and ACO?

The MCO is a group of medical providers and facilities that provide care to its members at a reduced cost. The ACO is a group of medical providers and medical facilities that work together to provider collaborative care to its members. The ACO doesn’t require the member to have a primary care provider.

What is ACO payment model?

Through the Advance Payment ACO Model, selected organizations received an advance on the shared savings they are expected to earn. Participating ACOs received three types of payments: An upfront, fixed payment: Each ACO received a fixed payment.

What are the benefits of an Accountable Care Organization?

The largest benefit that accountable care could bring for the healthcare industry is to garner cost savings or reduce spending. Healthcare reforms and new federal regulations whether it is the Affordable Care Act or the HITECH Act have all brought more focus on decreasing spending throughout the medical space.

How does an Accountable Care Organization work?

An accountable care organization (ACO) is a group of health care providers who agree to share responsibility for the quality, cost, and coordination of care with aligned incentives for a defined population of patients. With the shift to value-based payment, it is increasingly important to understand the components of an ACO.

Do Accountable Care Organizations save money?

Do accountable care organizations save money? New data from CMS show that ACOs succeed at producing quality gains and cost savings, but at least one effort begs to differ. Given enough time, ACOs succeed at producing quality gains and cost savings, according to new data.

What are the different types of ACO?

The six ACO types include: Full Spectrum Integrated, which provide all aspects of healthcare directly to their patients, and are commonly dominated by a large integrated delivery network. Independent Physician Groups, which are owned by a single physician group and do not contract with other providers.

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