I would have to take into consideration rather the hospital has enough primary care managers to fulfill the 5,000 Medicare recipient minimum, because the ACO has to have sufficient physicians to support the program. In addition, we would need to align with the other community hospitals and different kinds of practitioners in the community, such as the other physicians and providers in the private sector to augment the potential to coordinate care and decrease charges. Also I would take inventory of local vendors and if possible, determine if it is feasible to integrate them into our systems or establish other ways to partner with them, such as through contracts. Keeping in mind the main objectives of the ACO program is to better coordinate care so that it will reduce healthcare costs, which means lowering the usage fee of the most expensive services, including inpatient admissions and complicated outpatient procedures.
2. Would you want to lead the ACO or just be a part of it?
Considering the fact that we are the bigger technical savvy health system in the community, I’d lead the ACO. I would partner with the smaller community hospitals to create the ACO that distribute the operating expenditure related with an ACO more widely. …show more content…
Value-based rates compensate doctors for keeping patients healthy and for eliminating useless exams and doctor's visits. In other words, capitation will split the risk with providers, if the cost of services exceeds the set payment, the extra charges will be absorbed by that provider; making them more cautious with dishing out needless tests and highlighting exceptional care and changing the manner doctors get