Tag Archives: ACO

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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ACO: Understanding Beneficiary Assignments

In the final rule, CMS chose to adopt a preliminary prospective assignment methodology with final retrospective reconciliation.  Under this model, CMS will create a list of beneficiaries likely to receive care from the ACO based on primary care utilization during the most recent periods for which adequate dates are available, and provide a copy of […]

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ACO Application Requirements and Procedures

Our fifth installment in the ACO series covers the detailed ACO application requirements and procedures.

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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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