Accountable Care Organization (ACO) is a phenomenon that integrates providers such as hospitals which have legal structure, with payments and performance measurement approach that ensures accountability. This presentation focuses on Accountable Care Organizations computerization…
Department of Health and Human Services should; establish a three-tier structure model based on financial risk by ACO: link payment concept to ACO qualification levels: provision of Medicare and insurance with at least one ACO: assign Medicare to patients who have no provider (hospital).
Currently, physicians lack elements to participate in level II and level III ACO. It is recommended to have; private sector, professional association and CMC Quality Improvement Organization (QIOs) which should provide administrative governance and technical assistance. The office of the national coordinator should provide funds to ACOs with implementing electronic health records (Harrington, 380).
CMC should pay the providers for coordination, prevention of diseases and protection of people’s health. Changes may be required to facilitate innovation in payment, incentive, ACO formation, laws and policies in major five major areas. The healthcare system changes will not benefit all providers, but it will meet the demand of the increased population.
The reform focuses on rewarding providers on the delivery of quality services to patients. ACO focuses on addressing defects in organizations and payment health care. ACO also provides encouragement to create a feeling of union by general patients as opposed to discrete entities. The two main essential features of ACO are; first, designate accountable provider entities that share collective responsibilities for treating grouped patients. The second feature is the performance measurement and new payment method where each provider’s payment is to be based on care (Gold and Felt, 2008).
ACOs raise concerns of health care delivery in the United States. ACOs proposal focuses on grouping of patients for providers to work together closely to improve the quality performance measures. From past experiences, the ACOs have learnt that providers are a vital, and changes are tied to providers. Areas to be improved for ...
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