Tag Archives: Accountable Care Organization

NCQA Awards First ACO Accreditations

The National Committee for Quality Assurance (“NCQA”) awarded its first Accountable Care Organization (“ACO”) accreditations in December, 2012.  Established as a voluntary accreditation program in 2011, the NCQA awarded accreditations to the following organizations:  Billings Clinic, Crystal Run Healthcare, HealthPartners and Kelsey-Seybold Clinic.   The NCQA website contains detailed information regarding ACO Accreditation.   In general, NCQA Accreditation includes evaluation […]

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Healthcare Alert: Can specialist physicians participate in more than one ACO?

Before signing on with an Accountable Care Organization (ACO) it is important for physicians to consider the impact of ACO participation on their ability (and the ability of other physicians in their medical practice) to participate in other ACOs. Contrary to the common assumption that only primary care physicians (PCPs) are required to be exclusive to a single ACO, and that specialists are free to participate in multiple ACOs, the physician exclusivity provisions of the Medicare ACO regulations may potentially preclude physicians within many specialties from participating in more than one ACO. 

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Rachel Yaffe was featured in "What is a Radiologist’s Role in an ACO?," published by RBMA

What is a Radiologist’s Role in an ACO?

By: Rachel Yaffe

Accountable care organization (commonly referred to as an ACO) is the new buzz phrase swarming the medical community. Since ACOs are still a relatively new concept, radiologists are wondering how they can play a role in an ACO.

An ACO is an organization comprised of a variety of healthcare providers who work together to manage and coordinate patient care, and is held accountable for the quality and cost of such care. The financial attractiveness of the ACO model is that the organization will have the opportunity to share in the cost savings resulting from the provision of evidence-based, coordinated patient care, which shared savings will ultimately trickle down to the ACO’s members. A typical ACO will include, at a minimum, primary care physicians and specialists. While hospitals are likely to be involved in ACOs, and may, in many instances, even drive ACO formation, hospital participation is not required.

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