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Get advice on care management, chronic disease management, and care coordination.
The Centers for Medicare & Medicaid Services (CMS) defines Accountable Care Organizations (ACOs) as “groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients.” The goal of an ACO is to coordinate care, “avoiding unnecessary duplication of services and preventing medical errors.”
There are currently 171 physicians-only groups that make up 30% of the total ACOs. That number has increased from 134 in 2016. Physicians have also joined with hospitals and other facilities to form 324 ACOs, or 58% of the total.
The American Medical Association (AMA) reports that “Of the 432 MSSP ACOs operating in 2016, 31 percent generated shared savings with 45 percent of physician-only ACOs generating shared-savings, compared to only 23 percent of the 226 hospital-based ACOs.” In addition, CMS has launched a new Advanced Alternative Payment Model (APM) for physicians, which “limits downside risk for participating practices while also allowing them to collect a lump-sum bonus previously available only to those who assumed more risk.”
AMA also notes that “Physician-only accountable care organizations (ACO) … have significant flexibility to contract with allied providers to build the ACO’s network as a new enterprise.” The association points out some key takeaways regarding physician-only ACOs, including:
Physician-only ACO numbers are on the rise, as independent physicians participating in ACOs are realizing greater benefits in terms of shared savings, improved quality of care, and lower costs.
Prabhat Dhar March 29, 2018Read
Since the expansion of our blogs almost a year ago, we’ve been constantly looking for ways to continue to keep independent physicians and the healthcare community at-large informed and in the know about some of the most impactful areas of healthcare.
With care management being a growing area of interest among physicians and healthcare administrators, we’re excited to launch a blog solely focused on bringing information to you that can help reduce care gaps and improve care coordination.
From chronic disease management to independent physician associations (IPAs), and even accountable care organizations (ACOs), we’re dedicated to posting timely and relevant information to empower care managers at all levels to administer high-quality, coordinated care.
Nick Dealtry March 14, 2018Read