Preview

Accountable Care Organization

Powerful Essays
Open Document
Open Document
1221 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Accountable Care Organization
Accountable Care Organization
Ralph Edwards
Grand Canyon University
Operations in Risk Management in Health Care
HCA-460
Dr. Smith
March 24, 2013

ACO
Even although, the cost of the health care system and the care it offers my not allow the national debt to decline to a level that will or would enhance the economy forward the cost of running a system that is backed by the government is too costly, and it will not help the deficit. , the legal responsibility of the organization is that every patron should have the same treatment for the same ailment. There are no predetermined dispositions; everyone is eligible as a government-backed facility. The funds are to assure those who have no insurance are covered. The accountable care organization needs to sustain a system of health care to the elderly and financially handicap; no one turned away from health care under this system of care. Including but not limited to the handicap and mentally disturbed and during the implementation of the ACA for the elderly, the system allowed all who need care to continue to have health care. All who live in America have the right and the ability to use the systems health care services for their benefit.
The legal responsibility of the ACA has shown itself to be of value to all who depend on this system of care. What is the organization's legal responsibility? the legal responsibility of the organization is that every patron should have the same treatment for the same ailment. The ACO answerable to a third party payer and the patient for the appropriateness, quality and proficiency of care delivered. The Centers of Medicaid and Medicare Services (CMS), and the ACO is “health care providers of an organization which approves accountable services of quality, overall care, and quality of Medicare beneficiaries enrolled by the traditional fee-for-service program that are assigned to it.” Medicare (2010).
The cost of running a system that backed by government funds is too



References: "Medicare " Accountable Care Organizations" Shared Savings Program - New Section 1899 of Title XVIII, Preliminary Questions & Answers". Centers for Medicare and Medicaid Services. Retrieved January 10, 2010 FTC and the Department of Justice. (2011). "Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program." Final Policy Statement, 1-18 American Hospital Association. (2011). "The Work Ahead: Activities and Costs to Develop an Accountable Care Organization." American Hospital Association, 1-17. McClellan, Mark, et al. A National Strategy to put Accountable Care into Practice. Health Affairs. 29(5). 2010. 982-990. Jaimy Lee ( June, 2011) AdvaMed presses for oversight on ACOs | Modern Healthcare http://www.modernhealthcare.com/article/20110608/NEWS/306089961#ixzz2OtSa2rUw The United States Department of Justice. (2011). Department of justice/federal trade commission issue final statement of antitrust policy enforcement regarding accountable care organizations. http://www.justice.gov/opa/pr/2011/October/11-at-1384.html

You May Also Find These Documents Helpful

  • Good Essays

    This firm represents North Texas Division, Inc. and its affiliated facilities, including Medical City Dallas Hospital (“Medical City”). Reference is made to the Medicare Advantage Facility Participation Agreement (eff. October 30, 2010) as amended (collectively, the “Agreement”). I write regarding SelectCare’s failure to appropriately adjudicate a claim by Medical City for services provided to patient E.F. By this letter, the Hospitals invoke all dispute resolution procedures permitted or required under the Agreement.…

    • 802 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    The purpose of this Memorandum is to acquire a better understanding of the responsibilities of Health and Human Services Centers for Medicare and Medicaid Services (the “Agency,” or “CMS”), Provider Reimbursement,1 and the Provider Reimbursement Review Board (the “PRRB” or “Board”). This memorandum focuses on (1) recent Medicaid and Medicare legislation; (2) the process of becoming a Provider;2 (3) the reconsideration process for prospective Providers; (4) the appellate review process of Provider reimbursement decisions; (5) the role of the PRRB; and (6) alternatives to administrative or appellate review of Provider reimbursement decisions.…

    • 4538 Words
    • 19 Pages
    Powerful Essays
  • Better Essays

    “The” central point” of medical services, and operations, is the “federal government’s” organization, the Centers for Medicare and Medicaid Services (CMS). This affiliation is a component of the Department of Health and Human Services (HHS). One of the priorities of CMS is to analyze efficiency, and productivity in assorted “health care management, treatment, and financing” functions. CMS guidelines are pivotal to success, and compliance in “health care” delivery, and billing. Carriers will usually alter their regulations to support that amended by Medicare. Another credit to CMS is the enforcement of “the most important recent…

    • 1235 Words
    • 5 Pages
    Better Essays
  • Good Essays

    2. Michaels, C., Accountable Care Unit and Structured Interdisciplinary Bedside Rounds (SIBR) Program and Implementation Guide. (2012, July 24). Retrieved March 25, 2013 from…

    • 921 Words
    • 4 Pages
    Good Essays
  • Better Essays

    O 'Hagan, J., & Persaud, D. (2009, April/June). Creating a Culture of Accountability in Health Care - See more at: http://www.nursingcenter.com/lnc/static?pageid=935642#sthash.qkBUPqSc.dpuf. Lippincott nursing center.com, 28(2), 124 - 133. Retrieved from http://www.nursingcenter.com/lnc/static?pageid=935642…

    • 1182 Words
    • 3 Pages
    Better Essays
  • Powerful Essays

    Risk Scenario

    • 4258 Words
    • 18 Pages

    Young, K, (2009), Healthcare USA: Understanding its organization and delivery, Sudbury, MA: Jones and Bartlett, pp. 20-43.…

    • 4258 Words
    • 18 Pages
    Powerful Essays
  • Better Essays

    Accountability in health care is important because it helps an organization with continual improvement of employees, organizational procedures, and performance management. When there is accountability by employees, departments, units, and administration in the health care industry strong foundations are built for the organization to grow upon. Each person in every role in a health care organization is accountable for their own role, their role in the team environment, and their role that supports the organization. Without the accountability for the roles within the organization, health care employees are putting themselves, patients, co-workers, and the organization in jeopardy of harm. This harm can be physical, emotional, or financial but the impact is just as great.…

    • 1299 Words
    • 4 Pages
    Better Essays
  • Better Essays

    Federal Trade Comission

    • 1009 Words
    • 5 Pages

    In the mid-1970, the FTC formed a section within the Bureau of Competition to investigate potential anti trust violations involving healthcare. In the health care area, as in the case of any other field, the antitrust laws are enforced so check not only possible competitive harm but also the potential for pro…

    • 1009 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    ACA Policies and Resolutions. (2004, October). Corrections Today, 66(6). Retrieved April 12, 2005, from EBSCOhost Web site: http://web9.epnet.com/citation.asp?tb…

    • 2426 Words
    • 10 Pages
    Powerful Essays
  • Better Essays

    The Patient Protection and Affordable Care Act (PPACA) (ACA) or Obamacare is the most signification change the U.S. medical system since Medicare and Medicaid reform during the 1960’s. The Affordable Care Act or ACA is designed to ensure that all Americans have medical coverage. It gives those that were uninsured a means to now have health insurance, offers a more affordable coverage to those who couldn’t afford their premiums, expanded the limitations on public insurance and subsidizes private insurance coverage, and with Medicare, expanded, reorganized, and reduced cost on some additional supplemental options. Identifying the impacts of such fundamental reform to the health care system was without a doubt a difficult task and hard to foresee. However these future impacts were foreseen in order for this legislature to pass. This paper discusses how the ACA changes health care, and the historical evolution that has already or what may be to come. It will also discuss my personal view on just how significant the impact has been.…

    • 1050 Words
    • 3 Pages
    Better Essays
  • Good Essays

    Many states are shifting to the manage care system in attempts to “mainstream” the welfare system. In this program deservingness and individual responsibility is considered. With the managed care organization (MCO) patients will have to choose a primary care provider and cannot see multiple providers without a referral, cannot go directly to…

    • 464 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Medicaid Fraud

    • 1539 Words
    • 7 Pages

    Centers for Medicare and Medicaid. (2011). Medicare Fraud & Abuse: Prevention, Detection, and Reporting. Retrieved from http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Fraud_and_Abuse.pdf…

    • 1539 Words
    • 7 Pages
    Better Essays
  • Powerful Essays

    Healthcare Fraud and Abuse

    • 3859 Words
    • 16 Pages

    Werber-Serafini, Marilyn. "How Much Fraud." Healthcare.nationaljournal.com. National Journal, 29 Nov. 2009. Web. 1 Nov. 2011.…

    • 3859 Words
    • 16 Pages
    Powerful Essays
  • Better Essays

    Texas Medicaid Expansion

    • 1201 Words
    • 4 Pages

    act of 2010: Implementation challenges in the context of federalism. Journal of Health Care Law & Policy, 16(1), 77-140.…

    • 1201 Words
    • 4 Pages
    Better Essays
  • Powerful Essays

    Performance Indicators

    • 6913 Words
    • 28 Pages

    1. Introduction The past several decades have seen considerable effort directed towards improving systems of accountability and quality within health care systems within a number of countries. More recently increased emphasis on primary health care funding and service delivery have produced a greater focus on…

    • 6913 Words
    • 28 Pages
    Powerful Essays