ACO/Clinical Integration



Silver State ACO is affiliating with NPCN - IPA to bring this opportunity to our physicians (Medicare Project #2551) www.SilverStateACO.com

What's an ACO?


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.

Taken from Center for Medicare & Medicaid Innovation website:
http://innovations.cms.gov/initiatives/ACO/index.html


Shared Savings Program

Section 3022 of the Affordable Care Act requires the Centers for Medicare & Medicaid Services (CMS) to establish a shared savings program to facilitate coordination and cooperation among providers to improve the quality of care for Medicare Fee-For-Service (FFS) beneficiaries and reduce unnecessary costs.  The Shared Savings Program is designed to improve beneficiary outcomes and increase value of care by:


  • Promoting accountability for the care of Medicare FFS beneficiaries
  • Requiring coordinated care for all services provided under Medicare FFS
  • Encouraging investment in infrastructure and redesigned care processes


Taken from Center for Medicare & Medicaid Innovation website
:
http://www.cms.gov/SharedSavingsProgram/01_Overview.asp#TopOfPageSilver State ACO agreement started 1/1/2014

 
First performance "year" will be 1/1/2014 through 12/31/2014

 

ACO's must report quality measures for calendar year 2014 to quality for first-performance-year shared savings.


Additionally, new clinical integration opportunities to be announced soon.