Some Important News About Your Accountable Care Organization And What You Can Do

Medicare has a new model where healthcare providers who share a common vision of improving patient care can work together more effectively by belonging to an Accountable Care Organization (ACO). Your healthcare practice is voluntarily taking part in this model by joining our ACO, HealthCare Partners ACO, as they believe it will help in providing better quality care for patients. All of the healthcare providers participating in HealthCare Partners ACO have joined us in committing to your needs and preferences, and to emphasize the coordination of your care. While you may feel as though your care is already coordinated, our ACO will act as a safeguard to ensure your care is always coordinated moving forward.

As a part of being associated with this ACO, you can get a $25 check as a Coordinated Care Reward when you get your Annual Wellness Visit from your doctor, who participates in HealthCare Partners ACO. An Annual Wellness Visit is a chance for you to discuss your health, your medications, and your team of doctors with your primary doctor to ensure s/he can coordinate your care. An Annual Wellness Visit isn’t a physical; it’s a distinct visit that can be received once a year, which lets you have a conversation with your doctor about your health. Such visits have been shown to improve healthcare for beneficiaries, which is why you will be rewarded for receiving an Annual Wellness Visit.

The Centers for Medicare & Medicaid Services (CMS), which is the agency that runs Medicare, will send the check to the address you have listed with the Social Security Administration (SSA). CMS will identify beneficiaries who qualify for the reward on a quarterly basis, so that you can get your $25 check as soon as possible within the next quarter following your Annual Wellness Visit. To get this check please make sure Social Security has your current mailing address by creating an account and updating your profile on their website, https://www.ssa.gov/myaccount/.

There are several reasons why Medicare will send you a Coordinated Care Reward if you receive an Annual Wellness Visit from your doctor who participates in HealthCare Partners ACO. Patients who get good care stay healthier, have fewer complications, and require fewer hospitalizations. Coordinated care avoids wasted time and costs for repeated tests and unneeded appointments. It is easier to spot potential problems before they become more serious – like avoiding drug interactions that can result if one doctor is unaware of what another doctor has prescribed. Medicare understands the value that coordinated care provides, and will therefore be rewarding patients who help us meet this goal with a Coordinated Care Reward.

Please know that even with this reward you are not limited to a fixed set of providers. You are still free to use any doctor or hospital that accepts Medicare. If you choose to receive an Annual Wellness Visit from a provider that accepts Medicare, but does not belong to HealthCare Partners ACO, you will not receive the reward but the visit will still be covered by Medicare. Details are also available on our website at: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/AWV_chart_ICN905706.pdf .

Your healthcare practice is voluntarily joining our ACO, HealthCare Partners ACO, as they believe it will give their patients better quality care. All of the healthcare providers participating in HealthCare Partners have joined us in committing to your needs and preferences, and to emphasize the coordination of your care. While you may feel as though your care is already coordinated, our ACO will act as a safeguard to make sure your care is always coordinated moving forward.

One more thing you need to know: This website shares a current list of participating practices in HealthCare Partners ACO that have joined with us in this coordinated care effort. Our organization includes specialists in: diabetes management, heart and lung disease, gastroenterology, neurology, orthopedic surgery, hospital medicine, and more. We also have partnerships with nursing and rehabilitation facilities as well as with local hospitals. Through our ACO, all of these providers are now linked, making it easier to coordinate your care and focus on you.

If you have questions, please feel free to contact HealthCare Partners ACO, where we have staff available that can answer your questions 1-855-414-1226 . As always, you can contact Medicare directly at 1-800-MEDICARE (1-800-633-4227; TTY users can call 1-877-486-2048) or learn more about this Medicare model at https://innovation.cms.gov/initiatives/Next-Generation-ACO-Model/