Tag Archives: medicare acos

Medicare ACOs: Risk Adjusted Reimbursement’s Mathematical Impossibility (Part 5)

So far in this five-part series on Medicare ACOs, we’ve explored the basics of the concept, the patients’ participation, the fundamentals of reimbursement as well as the provider’s role and incentives. Recall that we explained in an earlier section that … Read Full Post

Tagged aco physicians, center for medicare and medicaid services, managed care plans, medicare acos, medicare advantage plans, medicare fee-for-service, risk adjusted reimbursement |

Medicare ACOs: Healthcare providers and the ACO (Part 4)

The ACO contemplates a paradigm where the entire continuum of care (from physicians to hospitals to rehab centers and everything in between) is coordinated on the beneficiary’s behalf to deliver quality and cost-effective care. In the fourth installment of our … Read Full Post

Tagged center for medicare and medicaid services, fee-for-service methodology, healthcare providers and the aco, medicare acos, medicare beneficiaries and the aco, primary care physicians, quality and cost-effective care, reimbursement |

Medicare ACOs: The Basics of Financing (Part 3)

In the first two parts of this five-part series, we looked at some background information on ACOs as well as the assignment of Medicare beneficiaries and the limitations on their choices. In essence, there are no limitations on provider choice … Read Full Post

Tagged aco financing, aco's model, center for medicare and medicaid services, cms, health care services, managed care contracts, medical necessity, medicare acos, medicare beneficiaries and the aco, the basics of financing for medicare acos |

Medicare ACOs: Medicare beneficiaries and the ACO (Part 2)

Last time, we reviewed some of the background information concerning ACOs and the objective of this care delivery model. In this installment of the five-part series, we will begin where health care truly starts: the patient. Medicare beneficiaries will be … Read Full Post

Tagged accountable care organizations, medicare acos, medicare advantage plans, medicare beneficiaries and the aco, medicare beneficiary, primary care physicians, primary care services |

Medicare ACOs: Stroke of Genius or Mathematical Impossibility? (Part 1)

The big buzz these days is about ACOs. In this series, we will discuss some of the features of Accountable Care Organizations and explore the overall question: Are Medicare ACOs a stroke of genius or a mathematical impossibility? This five-part … Read Full Post

Tagged accountable care organizations, background of medicare acos, fee-for-service, health care system, ma mso or ipa, medicare acos, medicare advantage, medicares shared savings program, physician groups |

Tag Archives: medicare acos

Medicare ACOs: Risk Adjusted Reimbursement’s Mathematical Impossibility (Part 5)

Medicare ACOs: Healthcare providers and the ACO (Part 4)

Medicare ACOs: The Basics of Financing (Part 3)

Medicare ACOs: Medicare beneficiaries and the ACO (Part 2)

Medicare ACOs: Stroke of Genius or Mathematical Impossibility? (Part 1)

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