In a just-released move, HHS has accelerated the focus on new payment structures for Medicare beneficiaries, responding to President Obama’s goal of 30% of beneficiaries in ACOs (accountable care organizations) by 2016, with a goal of 50% by end of 2018.
It’s a great moment for the shift from fee-for-service to coordinated care and value-based payments. In the ACO, or accountable care model, each patient is tracked through a quarterback physician who oversees the processes, screenings, interventions and outcomes for the team of clinical providers. The ACO is paid for better outcomes, including but not limited to lower readmissions, higher control of chronic conditions (such as diabetes and heart disease), and use of evidence-based guidelines for screening and treatment. (more…)