Accountable Care Organization, Healthcare Big Data, Healthcare Portal, and ACO Implementation Resources Accountable Care Organization, Healthcare Big Data, Healthcare Portal, and ACO Implementation Resources

FEATURED ARTICLES: ACO

  • The Buzzword For HIMSS11 — ACOs This year’s HIMSS Conference and Exhibition, held February 21-23 at the Orange County Convention Center, had a lot of things going for it. It was held in a warm weather location (Orlando, FL). It boasted a lineup of influential keynote speakers (e.g. Robert Reich, Kathleen Sebelius, Dr. David Blumenthal, and Michael J. Fox).
  • Study: Health IT Vital For ACOs
    7/24/2014

    Establishing an accountable care organization requires health technology, especially when the ACO is created by an academic medical center. By Katie Wike, contributing writer

  • HIMSS12 & Stage 2 MU: A Match Made In Vegas
    3/1/2012

    HIMSS12 proved to be the biggest HIMSS yet as more than 37,000 healthcare executives, IT professionals, and clinical leaders flocked to Las Vegas to attend valuable health IT educational sessions and evaluate the latest products and services from more than 1,100 vendors in the exhibit hall. By Ken Congdon, Editor In Chief, Health IT Outcomes

  • 60% Of Doctors Won't Join ACOs
    3/24/2014

    Study finds that more than half of physicians have not joined ACOs. By Christine Kern, contributing writer

CASE STUDIES & WHITE PAPERS

ABOUT ACCOUNTABLE CARE ORGANIZATIONS (ACO)

An Accountable Care Organization (ACO) utilizes a payment and care delivery system that bases payments to providers on quality metrics and seeks to reduce the total cost of care for a certain population of patients.  ACOs use a range of payment models and consist of groups of coordinated healthcare providers that provide care to groups of patients. ACOs are accountable to a third-party payer and the group of patients for the appropriateness, quality, and efficiency of the health services they provide.

In 2011, the Department of Health and Human Services (DHHS) set forth initial guidelines for ACOs to be created under the Medicare Shared Savings Program. These guidelines contained all necessary steps required for a physician, health care provider, or hospital to voluntarily participate in ACOs.

The quality measures used to evaluate an ACO's performance as defined by the Center for Medicare and Medicaid Services (CMS) fall into five domains. These domains are patient/caregiver experience, care coordination, patient safety, preventative health, and at-risk population/frail elderly health.

The three stakeholders in an ACO are the providers, payers, and patients. Providers are a network of hospitals, physicians, and other healthcare professionals. The primary payer is the federal government, Medicare, but also includes other payers such as private insurances or employee-purchased insurance. The patient population of an ACO will primarily consist of Medicare beneficiaries, but in larger ACOs can also include those who are homeless and uninsured.

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