Consider This Before Joining an ACO – Review of Ophthalmology
Patients and providers can both benefit under a Shared Savings Program alternative to the standard fee-for-service practice.
This article answers the following questions:
- What drives the Centers for Medicare & Medicaid Services to consider alternatives to paying providers under the current Medicare system?
Are Accountable Care Organizations one such alternative payment system?
Are Shared Savings Program concepts aligned with the Affordable Care Act?
- Will this Shared Savings Program save CMS dollars?
- Is an ACO just another kind of health maintenance organization?
- How are Accountable Care Organizations structured?
- Do different ACO models exist?
- Will participating providers face reduced reimbursements on their claims if they join an ACO?
- What motivates a provider to join an ACO if reimbursement rates are the same as their MPFS rates?
- How will quality of care be measured?
- What if an ACO doesn’t meet performance and savings benefits?
- Must providers participate in an ACO?
- Has CMS released any information about the money saved by ACOs?
- Are patients required to join an ACO?
- May ophthalmologists and optometrists join more than one ACO?
This article was published in Review of Ophthalmology’s Medicare Q & A column, which is written by Corcoran’s Vice-President, Donna McCune, CCS-P, COE, CPMA. To view the entire article in Review of Ophthalmology, click on the link below: