Affordable Care ACO Summary
The Patient Protection and Affordable Care Act (ACA) approved the use of Accountable Care Organizations (ACOs) to provide protection, value of care and reduce health care costs in Medicare. The ACO program is a charitable program which began on January 1, 2012. An ACO represents a group of providers and suppliers of services such as hospitals, physicians, and those involved in patient care. These individuals have agreed to work together to coordinate care for the patients they serve under the original Medicare. The objective of an ACO is to provide continuous, high quality care for Medicare beneficiaries, simultaneously improve quality and lower costs. The ACO would be a patient-centered association where the patient and providers are proper
Medicare Shared Savings Case Study
144 Words | 1 PagesMedicare Shared Savings Program provides and incentive to ACO participants that are capable of lowering growth in Medicare health care costs in addition to meeting performance standards for quality of care and putting patients first. It was not until October 20, 2011 the Center for Medicaid and Medicare Services (CMS) released the final details regarding the ACO that specified the Shared Savings program authorized by ACA. The purpose of the program should improve access to capital precisely targeting those smaller ACO entities which are physician owned and/or located in rural locations. CMS will not pursue recoupment of any advanced payments not repaid from shared earnings, if the ACO completes the full three-year contract term and decides
External Factors For The Memorial Herman Health Care Organization
571 Words | 3 PagesBy accommodating to these changes the organization to better serve a greater population at a greater level of quality. Laws and policies also have impacted the organization, such as the Affordable Care Act (ACA). The ACA allowed more patients to have access of healthcare services, driving the demand for health care services higher. This called for the need to increase supplies and staff for the organization. With the ever-changing technology updates, the organization must keep up to date to provide the best quality of care available which can cost an organization extra time and
Accountable Care Organizations: Similarities Between ACO And Managed Care
1683 Words | 7 PagesThe Accountable Care Organizations are a coordinated effort between healthcare providers to ensure the best quality of care delivered to the patients and at the same time at a reduced cost. This means that health care providers will voluntarily come together to form the ACO and patients will be able to get treated by any provider in the organization. Apart from that, it will reward the providers for delivering quality care. Even though the ACOs is comparatively a new concept, but its certain concepts and features are closely related to early managed care organizations (Barnes et al.,2014). Both MCOs and ACOs rely on the creation of physician network, promotion of member health and resource management to control costs.
Affordable Care Act Case Study
158 Words | 1 PagesAn estimated 50 million Americans are relied upon to pick up medical coverage through the Affordable Care Act (ACA), and a sound and sizable workforce will be expected to take care of the expanded demand. The medicinal services workforce is as of now confronting a basic deficiency of healthcare experts throughout the following decade. The ACA breaks the guarantees of access and nature of administer to all Americans by raising the lack and expanding the weight and weight on the officially delicate framework. The ACA's endeavors to address the deficiency are doubtful and constrained in degree, and the noteworthy monetary venture won't create results for quite a long time because of the preparation pipeline. With the ACA's evaluated 190 million
What Is The Difference Between Cigna HMO And Heritage California ACO?
582 Words | 3 PagesCompare and Contrast CIGNA HMO and Heritage California ACO from the lens of the consumer Introduction In the US, there are many health insurance plans designed to meet different individual needs with various advantages and disadvantages of their own. This research paper, focuses on the two different health plan models those are Cigna HMO and Heritage California ACO. Health Maintenance organization (HMO) is basically a type of health plan that limits the freedom of choice of the provider, as the coverage is given to patients who take care from the physicians who contact with the HMO and its main focus is on the prevention and wellness (Wedig, 2013). ACO health plans basically focuses on the care coordination, promote prevention and wellness,
Essay Comparing The Transformational Model And Accountable Care Organizations
866 Words | 4 PagesAccountable care organization do not uses the transformational model. Instead, ACO’s are involved with the health outcomes of a certain population (Science Direct, 2014). ACOS treat many Medicare and Medicaid COMPARISON OF THE TRANSFORMATIONAL MODEL 4 recipients. They provide care and are given incentives and bonuses for the number patients they treat. ACO’ us the “fee for services” having the goal of providing care for patients yet avoiding unnecessary services (Science Direct, 2014).
Medicare Association Case Study
296 Words | 2 PagesTo further elaborate, the organization was brought up to manage and restore the attention of Medicare, Medicaid, and other related quality services and provide them to the American citizens who dire needed them. This is said in the first paragraph, “The Health Care Financing Administration (HCFA) was created in 1977 to combine under one administration the oversight of the Medicare program, the Federal portion of the Medicaid program, and related quality assurance activities,” (Federal Register. n.d.). The remaining of the article emphasizes the services by defining and explaining what Medicare and Medicaid are, and gives elaborate declarations of the two. Finally, to end by changing the name to Centers for Medicare and Medicaid Services in July, 2001. As one can see, following the flow of the article’s history, there is no change whatsoever in the direction of the organization, as both names emphasize the product rather than the
Revenue Integrity Professional Research Paper
575 Words | 3 PagesThe AAHAM is a professional association that provides advocacy, networking events and training opportunities. As a matter of fact, they are the premier organization that certifies health care administrative professional who specialize in patient account revenue cycle management. Certifications are an industry standard way of recognizing competent health care professionals who have the necessary skills and know-how to excel in patient
Affordable Care Act Case Study
576 Words | 3 PagesPatient Protection and Affordable Care Act, or ‘Obamacare’ was the expansion of Medicaid program across the states. Charles Barrilleaux and Carlisle Rainey look at why state government have opted out of the Medicaid expansion. They find that Obama’s 2012 vote share and the governor’s partisanship better explains the disapproval to Medicaid expansion, rather than measures of need, such as life expectancy or the number of people that are uninsured. Charles Barrilleaux and Carlisle Rainey find that a Republican governor is a higher percentage point more likely to oppose the expansion than Democratic governors. Whereas, the results show that the percentage uninsured in the state to have a small positive effect on the probability of opposition.
Affordable Care Act Case Study
991 Words | 4 PagesThe affordable care act presented the United States with the most extensive overhaul since the passage of Medicare and Medicaid in the 1960’s. The act was a response to staggering statistics on the price of healthcare and the resulting uninsured rate within the United States. The affordable care act uses Individual Mandate and Health Insurance Exchanges to combat major factors causing high insurance cost and low insured rates. As with most reform, the public has not been one hundred percent unified on the potential effectiveness of the Affordable Care Act.
Medicare Policy Summary
1033 Words | 5 PagesMedicare is a tightly regulated US health insurance program that provides coverage to those who are 65 years or older, certain younger individuals with disabilities and those with end staged renal disease or amyotrophic lateral sclerosis. Medicare has four parts associated with it, one of which is Part B. Part B is also known as supplementary medical insurance and provides coverage to beneficiaries for outpatient care, preventive services, ambulance services, and durable medical equipment. Outpatient physical therapy services falls into this category of coverage for Medicare Part B (Jannenga, 2014). However, there are several rules and regulations that health care providers, including physical therapists, must follow in order to receive proper
Affordable Care Act Case Analysis
677 Words | 3 PagesOn March 23, 2010, the President of the United States signed the “The Affordable Care Act” into law and the Supreme Court rendered a final decision to uphold this new law on June 28, 2012. (About the Law, 2015) But the biggest question regarding this law, is whether it is constitutional or not. "The Act establishes the basic legal protections that until now have been absent: a near-universal guarantee of access to affordable health insurance coverage, from birth through retirement. When fully implemented, the Act will cut the number of uninsured Americans by more than half. The law will result in health insurance coverage for about 94% of the American population, reducing the uninsured by 31 million people, and increasing Medicaid enrollment
Affordable Care Act Research Paper
955 Words | 4 PagesA Second Look at the Affordable Care Act David E. Mann, ABA American Military University POLS210 Abstract Since the passing of the Patient Protection and Affordable Care Act (PPACA), twenty-eight states have either filed joint or individual lawsuits to strike down the PPACA. This document will examine a few key elements that the President of the United States must take into consideration when reviewing the act and moving forward to either ratify the act, replace the act, or leave the act as it is. Topics that will be presented will include; the current issues being debated, two competing thoughts on how to fix the ACA, an evaluation of the preferred solution, and finally the responsibility of each level of government. Patient
Obama Care Act Essay
416 Words | 2 PagesThe Obamacare Act has changed a bit over the years. You must know what Obamacare is first in order to fully understand it. Obamacare, or the Patient Protection and Affordable Care Act (PPACA), became a law and was signed by former President Barrack Obama on March 23, 2010. The goal was to reform the healthcare industry. The Supreme Court upheld this law on June 28, 2012.
Health Care Stakeholders Analysis
1010 Words | 5 PagesA patient is going to have a different idea of how a health care should be managed. This in contrast to the way a physician may think the administration should be managed. Furthermore, each different stakeholder involved would have their own ideal reasons to why the health care administration
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