Preview

Accountable Care Organization Model

Satisfactory Essays
Open Document
Open Document
287 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Accountable Care Organization Model
It is common knowledge that the ACA has granted more Americans access to health care insurance. As discussed earlier, the increase in insured persons means more patients in the already burdened health care system. The up-front cost of providing care to nearly 16.4 million Americans will be great to health care providers and organizations. The ACA presented new concepts to health delivery that move away from the traditional fee-for-service payment model in hopes to increase quality of care, improve patient outcomes, reduce costs, and increase savings to providers and organizations. The Accountable Care Organization (ACO) is a model implemented by the ACA to allow economic incentives for organizations.
The Centers for Medicare and Medicaid
Continue Reading
View Writing Issues

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Managed Care Delivery Model Analysis
    • 394 Words
    • 2 Pages

    Managed Care Delivery Model Analysis

    The managed care delivery model was intended to decrease unneeded health care costs, by controlling the level of service along with the type of service that was being provided. This model came in a response to the rocket costs of the unrestricted fee-for-service plans in the 1980s. (PBS.org) Managed care plans are a type of health insurance.…

    • 394 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Better Essays

    Hsa 500 Week 2 Health Care Research Paper
    • 1835 Words
    • 8 Pages

    Hsa 500 Week 2 Health Care Research Paper

    health care system is dysfunctional and can no longer continue as it currently operates. With or without Affordable Care Act (ACA), there is a need for a deep change. The United States spends more money on health care because a nation is less healthy on the average than the rest of the developed world. The system is dysfunctional and ACA is fast-tracking the process of changes that will be faced by the economic and business challenges by health care organizations. The required adjustments to healthcare organizations operating budgets and methodologies for delivering medicine may become a big issue. Health care organizations will have to go from volume-based reimbursement in medicine based on the number of procedures done or patients seen to a value-based system that will give the same money for every patient regardless of the procedure performed. Health care organizations may have lower income since they will treat more patients. They may face cost-pressure factors such as the overall cost of medical care and the increased incidence of chronic disease, cost transparency and reference pricing, increased government role in paying for care, increased coverage and limited highly skilled medical workforce There is a prediction that forty million more people will be covered nationally, at reimbursement rates below the cost of providing that care (Adams et al.,…

    • 1835 Words
    • 8 Pages
    Better Essays
    Read More
  • Satisfactory Essays

    Health Care Reform: Annotated Bibliography
    • 127 Words
    • 1 Page

    Health Care Reform: Annotated Bibliography

    Felicia, thanks for your post, I reviewed your study on Medicaid and it saddens me to hear that this this the worst health care insurance to have because Today the majority of the population is on Mediciad. “Medicaid serves as the nation’s primary source of health insurance coverage for low-income populations” (CMS. gov., 2015). This places the low income families at a disadvantage for quality care. (Political Irony, 2014). Would ACO’s be able to provide quality managed care for this group? If so I would say we have to evaluate its benefits and it outcomes. This can be good for health care reform.…

    • 127 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Good Essays

    The Future of Nursing the impact of the 2010 IOM report
    • 899 Words
    • 3 Pages

    The Future of Nursing the impact of the 2010 IOM report

    The Affordable Care Act (ACA) is the biggest change and evolution to occur to healthcare in the United States since the foundation of Medicare and Medicaid services in 1965…

    • 899 Words
    • 3 Pages
    Good Essays
    Read More
  • Better Essays

    Pay for Performance
    • 2085 Words
    • 9 Pages

    Pay for Performance

    Pay-for-performance is a payment model that rewards physicians, hospitals, medical groups, and other healthcare providers with financial incentives based on performance on select measures (Epstein, 2012). These performance measures can cover various aspects of health care delivery including: clinical quality and safety outcomes, efficiency, health care access and availability of care, patient experience and satisfaction, cost of care, administrative compliance, and the adoption of health information technology (Richmond, 2013). By providing direct incentives, physicians and other health care professionals can engage in practices that will hopefully increase the quality of care to patients, while controlling skyrocketing health care costs. While pay-for-performance is not an entirely new concept, the renewed interest can be attributed to the Affordable Care Act and initiatives within the Act…

    • 2085 Words
    • 9 Pages
    Better Essays
    Read More
  • Best Essays

    Accountable Care organization ACO
    • 1717 Words
    • 5 Pages

    Accountable Care organization ACO

    Accountable care organization is composed of a group of care providers, hospitals, and doctors who join up collaboratively together to provide high-quality care to the patients. The goal of an Accountable Care Organization is to ensure that they provide coordinated care to the patients ensuring that the chronically ill especially will get the right care at the right time while avoiding unnecessary services duplication as well as preventing medical errors. The rate of healthcare spending is expected to rise by 6 percent every year by the end of 2020 in the United States (Devore & Champion, 2011). By the period, the health care spending is expected to account for about a fifth of the country economy and the federal government will be expected to pay a greater share in financing the health care cost ever than before. In the recent days, there have been reforms in the Medicare federal programs changing the way the healthcare is paid for and organized. Recent rules have stipulated a new path for hospitals, doctors and other healthcare providers to form teams referred to as “Accountable Care Organizations” that are essential in saving money through coordination of medical care services for the patients. Under the reforms, the teams are expected to provide health care at a lower cost treating the patients for lesser money. The government has committed to rewarding such organizations financially if they meet the expected quality measures (Lieberman & Bertko, 2011).…

    • 1717 Words
    • 5 Pages
    Best Essays
    Read More
  • Better Essays

    Access and Availability: Two Challenges for Health Care
    • 1063 Words
    • 5 Pages

    Access and Availability: Two Challenges for Health Care

    Through increasing access the ACA has several challenges; (a) high cost may result in rationing; and (b) shortage of primary care providers (Shi & Singh, 2012). This shortage will have a greater effect on the South and Mountain West where primary care providers compose 57% of all physicians practicing in rural areas, and 81% of physicians in smaller rural counties, as compared with 38% in urban areas (American College of Physicians, 1995) (Shi & Singh, 2012). Currently, access to care and access to primary care providers remains a challenge for many Americans. The ACA does not go into full effect until 2014 (HHS, 2012). America remains the only country that discriminates against patients based on their ability to pay or their legal status (Neuberger, 2008).…

    • 1063 Words
    • 5 Pages
    Better Essays
    Read More
  • Good Essays

    Affordable Care Goals
    • 307 Words
    • 2 Pages

    Affordable Care Goals

    The Affordable Care Act is the comprehensive health care reform law enacted in March 2010. Also, known as “Obomacare”, the Affordable Care Act has three primary goals. These goals include making affordable health insurance available to more people, expand Medicaid program to cover all adults with income below 138 percent of the federal poverty level, and support innovative medical care delivery methods designed to lower the costs of health care generally.1 The reason that the affordable care act included a provision that requires individuals to purchase insurance is because insurance companies, in order to provide coverage for individuals, pool the risk for all of the individuals that they are providing coverage to and that is how they develop…

    • 307 Words
    • 2 Pages
    Good Essays
    Read More
  • Good Essays

    Affordable Care Act Analysis
    • 1269 Words
    • 6 Pages

    Affordable Care Act Analysis

    The Affordable Care Act (ACA) also known as ObamaCare, has several provisions that are intended to find solutions to underlying issues in the United States as to how the health care is delivered to patients and how the health care provided is paid for. These previsions made in the ACA focus on three broad areas: testing new delivery models and spreading successful ones, encouraging the shift toward payment based on the value of care provided, and developing resources for system wide improvement. An example of a new model for delivering health care is the Accountable Care Organization (ACO). The ACO is a group formed by health care providers ranging from primary care physicians and specialists to hospitals and post-acute care facilities that…

    • 1269 Words
    • 6 Pages
    Good Essays
    Read More
  • Good Essays

    Affordable Health Care Act
    • 1278 Words
    • 6 Pages

    Affordable Health Care Act

    The United States in the past month has gone through a rollercoaster ride of events, from government shutdown to fiscal cliff deadline. All of these fall short to the main focus of this paper. The Patient Protection and Affordable Care Act (ACA) will affect every person in the United States however; I will focus on the benefits of the ACA on the rural American. The ACA was passed in 2010. On October 1st, 2013 the Patient Protection and Affordable Care Act began the launch of health care exchange and by January 2014 will be in full vigor. ACA is a new health care reform law that is also known as Obamacare. ACA is made up of four separate acts: Affordable Health Care of America Act, Patient Protection Ace, Health Care and Education Reconciliation Act and the Student Aid and Fiscal Responsibility Act. The ACA attempts to restructure the healthcare system by lowering the spending on healthcare and by providing Americans with inexpensive quality health insurance. The ACA will guarantee coverage and requires people to have coverage or pay a penalty. The penalties will come in form of tax penalties that will increase from year to year. ACA will require insurance to include 10 categories of essential benefits allowing for more people to get the coverage they need. ACA will limit the premium variation pending on age and existing medical conditions. Lastly, the ACA creates eight new taxes and fees paid by insurance companies that will help subsides the increase in cost for health insurance. The insurance can be purchase through state-based American Health Benefit Exchanges.…

    • 1278 Words
    • 6 Pages
    Good Essays
    Read More
  • Good Essays

    Affordable Health Care Reform
    • 507 Words
    • 3 Pages

    Affordable Health Care Reform

    The affordable care act came in to effect on March 2010. It is a four years plan that will affect the delivery of care to the 250 million Americans. (Swanton, 2012). The Affordable Care Act includes numerous provisions to support millions of Americans to keep the Health care costs low, promote preventive care such as colonoscopies and mammogram, and other services readily available to promote prevention of the disease and hold insurance companies accountable for the safe delivery. (Hill, 2012). The health care reform act intended to make the health care more affordable for all and make health care more safe. There were several aspects of the health care system that the reform would impact such as the employer to provide…

    • 507 Words
    • 3 Pages
    Good Essays
    Read More
  • Powerful Essays

    Essay On Accountability In Health And Social Care
    • 1494 Words
    • 6 Pages

    Essay On Accountability In Health And Social Care

    This essay is about accountability in health and social care setting. Accountability requires the individual practitioner to take responsibility for their actions and the outcomes. The essay looks at the different areas of accountability such as, principles of care, delegation; four ethical principles. In this essay record keeping will be discussed.…

    • 1494 Words
    • 6 Pages
    Powerful Essays
    Read More
  • Good Essays

    Affordable Care Reform
    • 1656 Words
    • 7 Pages

    Affordable Care Reform

    There have been numerous failed attempts to reform the United States healthcare system over the years. However, the most recent attempt that has been implemented is the Affordable Care Act, under the Obama Administration. As a result, since 2010 changes have been implemented to reform the United States healthcare industry, which affects the insurers, providers, and the subscribers in different ways. Consequently, the Affordable Care Act does not have full support from everyone and it faces numerous challenges (Bodenheimer & Grumbach, 2012). Overall, it is estimated that 2.6 trillion dollars is spent on healthcare in the United States each year (Van Gorder & Topol, 2012). Therefore, it is essential to acknowledge the inflation in healthcare…

    • 1656 Words
    • 7 Pages
    Good Essays
    Read More
  • Satisfactory Essays

    Thesis Statement For Health Care Reform
    • 215 Words
    • 1 Page

    Thesis Statement For Health Care Reform

    The U.S. healthcare is the most expensive in the world and yet one of the least in terms of quality when compared with peer countries. Consequently health reform has been on the fore front for several years. However there is no consensus on how best to go about reforming the system. The enactment of the ACA in 2010 was one of the boldest attempts to reform U.S. healthcare. Making healthcare affordable to Americans is one of the main goal of the ACT. There is ongoing debate on whether ACA has made healthcare…

    • 215 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Best Essays

    The Next Steps for Accountable Care Organizations, Bundled Payments, and Health Reform
    • 4617 Words
    • 15 Pages

    The Next Steps for Accountable Care Organizations, Bundled Payments, and Health Reform

    The ACO is a health care organization which provides accountability for quality, cost, and care for medical beneficiaries with single entity providers that are responsible for delivering care. The ACO-model builds on the Medicare Physician Group Practice Demonstration and the Medicare Health Care Quality Demonstration, established by the Medicare Prescription Drugs Improvement and Modernization Act of 2003. Under the Affordable Care Act, the U.S. Department of Health and Human Service (HHS) released new rules that benefit doctors, hospitals, and other health care providers of better care for Medicare patients through ACOs on March 31, 2011(U.S. Department of Health & Human Services, 2001). According to the Centers for Medicare & Medicaid Services’ (CMS) administrator Donald Berwick, MD, “An ACO will be rewarded for providing better care and investing in the health and lives of patients. ACOs are not just a new way to pay for care but a new model for the organization and delivery of care” (Penton Media., 2011). The new model, which is called the “Pioneer Accountable Care Organization,” is to improve the quality of…

    • 4617 Words
    • 15 Pages
    Best Essays
    Read More