What is an
Accountable Care Organization (ACO)?
Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to the Medicare patients they serve. Coordinated care helps ensure that patients, especially the chronically ill, get the right care at the right time, with the goal of avoiding unnecessary duplication of services and preventing medical errors. When an ACO succeeds in both delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.
All Medicare patients (except those on a managed care plan such as Tufts Medicare Preferred) will have received notification that the doctor who was felt to be providing the majority of their care is a member of an ACO. In the vast majority of cases their Primary Care Physician is a member of Belmont Medical Associates.
So as to serve you better and improve coordination of your care in the future, you were notified that a list of your other providers (hospitals, doctors, pharmacy records) were provided by Medicare to the ACO to which we are members. It is our sincere belief that as a result of this automatic transfer of information, your future coordination of care will be improved.
Your Medicare benefits and the current freedom of choice that you have will NOT be impacted at all by us being a member of this ACO. For you it will be seamless and no changes will be noticed, except that it is anticipated that with better coordination, your benefits and care will be improved.
Below are some frequently asked questions related to the ACO.
All Medicare patients (except those on a managed care plan such as Tufts Medicare Preferred) will have received notification that the doctor who was felt to be providing the majority of their care is a member of an ACO. In the vast majority of cases their Primary Care Physician is a member of Belmont Medical Associates.
So as to serve you better and improve coordination of your care in the future, you were notified that a list of your other providers (hospitals, doctors, pharmacy records) were provided by Medicare to the ACO to which we are members. It is our sincere belief that as a result of this automatic transfer of information, your future coordination of care will be improved.
Your Medicare benefits and the current freedom of choice that you have will NOT be impacted at all by us being a member of this ACO. For you it will be seamless and no changes will be noticed, except that it is anticipated that with better coordination, your benefits and care will be improved.
Below are some frequently asked questions related to the ACO.
MANAGED CARE CASE MANAGERS
@
725 Concord Avenue, Suite 4600, Cambridge, MA 02138
617-864-8822 ext 285
Robyn Smith, RN
Cell# 617-785-0742
rsmith@macipa.com
and
Judy Dyer, RN, NP
Cell# 617-780-7432
jdyer@macipa.com
Medical case management is a collaborative process that facilitates recommended treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals.
It refers to the planning and coordination of health care services appropriate to achieve the goal of medical rehabilitation. Medical case management may include, but is not limited to, care assessment, including personal interview with the patient, and assistance in developing, implementing and coordinating a medical care plan with health careproviders, as well as the patient and their family and evaluation of treatment results.
Medical case management requires the evaluation of a medical condition, developing and implementing a plan of care, coordinating medical resources, communicated healthcare needs to the individual, monitors an individual’s progress and promotes cost-effective care.
The term also has usage in the USA health care system, referring to the case management coordination in the managed care environment.
It refers to the planning and coordination of health care services appropriate to achieve the goal of medical rehabilitation. Medical case management may include, but is not limited to, care assessment, including personal interview with the patient, and assistance in developing, implementing and coordinating a medical care plan with health careproviders, as well as the patient and their family and evaluation of treatment results.
Medical case management requires the evaluation of a medical condition, developing and implementing a plan of care, coordinating medical resources, communicated healthcare needs to the individual, monitors an individual’s progress and promotes cost-effective care.
The term also has usage in the USA health care system, referring to the case management coordination in the managed care environment.
