Key Points

The Affordable Care Act...

Refers to the Patient Protection and Affordable Care Act of 2010, which came about to help physicians, hospitals, and other caregivers improve the safety and quality of patient care while making health care more affordable. The intent of the act is to create a reformed health care delivery system that makes health care providers accountable for both the care and cost of care they deliver to Medicare Fee-for-Service patients. The act focuses on the needs of patients while linking payments to outcomes with the goal of improved health and communities and slow cost growth.

On March 31, 2011…

The Department of Health and Human Services (HHS) released proposed new rules to help doctors, hospitals, and other providers better coordinate care for Medicare Fee-for-Service patients through Accountable Care Organizations (ACOs). ACOs create incentives for health care providers to work together to treat an individual Medicare Fee-for-Service patient across care settings – including doctor’s offices, hospitals, and long-term care facilities. The Medicare Shared Savings Program will reward ACOs that lower growth in health care costs while meeting performance standards on quality of care and putting Medicare Fee-for-Service patients first. Provider participation in an ACO is purely voluntary.

Bon Secours Medical Group…

Established an Accountable Care Organization (Healthy Communities ACO) as the culmination of its journey toward clinical transformation and care coordination. Healthy Communities ACO is a partnership arrangement between ACO professionals (including primary care physicians) that is, effective January 1, 2017, accountable for the quality, cost, and overall care of 11,000 Medicare Fee-for-Service beneficiaries assigned to it by the Center for Medicare and Medicaid Services.

Healthy Communities ACO…

Has in place a leadership and coordination structure that includes clinical and administrative systems developed within Bon Secours Health System over the past decade. As a result, the ACO is supported by a system wide electronic health record, health information exchange, palliative care leadership, care coordination functions, community outreach professionals, and patient-centered medical home infrastructures within its primary care networks.

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