How will ACOs be held accountable for care quality?

1. How will ACOs be held accountable for
care quality?
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2. ACO
• The ACO model can be defined as a network of
physicians and hospitals who share responsibility for
providing quality healthcare to patients in hopes of
limiting unnecessary spending
• Under the Obamacare, each ACO has to manage at
least 5,000 Medicare beneficiaries for at least three
years
• The responsibility of providing quality healthcare in
the ACO model lies with the providers. They will be
held accountable if they do not meet the criteria

3. CMS
• As per the Centers for Medicare and Medicaid
Services (CMS), some of the measures for
establishing quality performance standards for ACO
include the following
– Patient/caregiver experience (7 measures)
– Care coordination/patient safety (6 measures)
– Preventive health (8 measures)
• The CMS is encouraging providers to participate in
the Shared Savings Program under Medicare. In the
program , complete and accurate reporting for all
standards for only the first year is required

4. Assessing ACOs
• There are some selected quality measures which the
CMS will use to assess the ACOs
• The CMS will give the ACOs weighted average points
under all the quality measures
• If the overall average is less than 70 percent, the ACO
will be placed on corrective action plan. Otherwise, it
will be eligible to share profits between the
stakeholders

5. Read more on blog.curemd.com
• To read more on this topic, visit:
• http://blog.curemd.com/how-will-acos-be-heldaccountable-for-care-quality/