On a parallel track with the Medicare Shared Savings Program, private/commercial ACOs are forming and gaining traction across the country. These entities differ from Medicare ACOs in key ways in that highlight their independence from government oversight.
The private sector is outpacing Medicare in terms of developing ACOs by a 4-‐to-‐1 margin
162 private ACOs exist in 45 states and the District of Columbia
At present, private ACOs typically exist in large metropolitan areas
In a private ACO model, providers work collaboratively together with each other and a payer to be responsible for the quality, care and cost of healthcare services to the ACO’s members
The ACO must provide a continuum of care in a real or virtually integrated care delivery system
The ACO must be of a sufficient size to provide adequate measurement numbers in terms of performance and expenditure measurement
The ACO must be able to design a provider-‐payer contract that appropriately incorporates budget planning and shared savings distribution
Download this fact sheet from Greenway below to read more.