Accountable Care Organizations: A Case Study

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Accountable Care Organizations:
The Affordable Care Act (ACA) sanctions the practice of Accountable Care Organizations (ACOs) to bring the advancement in health care space by enhancing the care quality, emphasizing patient’s safety and reduce health care costs in Medicare. This program was begun on January 1, 2012. Its target is not to create any demonstration project, instead it aims to produce an entity which can directly contract with Medicare. The Centers for Medicare and Medicaid Services (CMS) explain ACO as an association of health service providers, i.e. hospitals, physicians, insurers, and others allied with patient care reform that will work together to undertake accountability for the quality of patient care, and how money is spent
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According to a provision under the ACA, Medicare would be remunerating healthcare organizations from the savings acquired through care quality enhancement and cost reduction. It is mandatory for all the health care organization to be transformed into Accountable Care Organization to promote this shared savings program. This model also has a dominant contribution to a skillful patient treatment during the care course. Some affiliates of a particular accountable care organization provide health care same means to all the practitioners, hence the medical tests and appointments are conducted under that. If a patient pursuing second opinion or any specialist’s opinion rather than the insight of a primary care physician, he will be referred to the specialist within that organization in order to keep the patient from incurring additional…show more content…
improving quality of American health care system and curbing the care costs, at the moment numerous ways of restructuring care supply are being evaluated by CMS. Accompanying Medicare shared savings program, initiatives like Advanced Payment Incentive and Pioneer ACO demonstrations are being commenced. Other global health service organizations such as Cigna, Aetna and Anthem are also supporting this health reform model and endeavoring to improve health service system by acquiring health service providers to raise the level and quality of care supply. As well as this kind of health insurance companies provide other incentives to healthily systematized care provider
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