What Is an ACO?

The Centers for Medicare & Medicaid Services (CMS) has announced its commitment to achieve better care for individuals, better health for populations, and reduced expenditures. For those reasons, HealthCare Partners ACO, is partnering with CMS in its Next Generation Accountable Care Organization (ACO) Model to accept joint responsibility for the cost and quality of care outcomes for Medicare beneficiaries. Next Generation ACO offers a new opportunity in accountable care—one that sets predictable financial targets, enables providers and beneficiaries greater opportunities to coordinate care, and aims to attain the highest quality standards of care.

An ACO is a group of doctors, hospitals, and other healthcare providers who come together voluntarily to coordinate high quality care for Medicare patients, like you, to better meet your individual needs and preferences. Coordinated care helps patients get the right care at the right time, while avoiding unnecessary duplication of services.

For beneficiaries enrolled in the original Medicare program, relationships with ACO providers will NOT limit available benefits, and beneficiaries will still have the right to use any doctor or hospital that accepts Medicare, at any time.

If you have any questions about HealthCare Partners ACO or the government’s Next Generation ACO Model, you can call HealthCare Partners ACO at 1-855-414-1226, contact your local State Health Insurance Assistance Program (SHIP), or call Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048 or 711. You can also get more information online at the websites below:
• Centers for Medicare & Medicaid Services: http://www.medicare.gov/manage-your-health/coordinating-your-care/accountable-care-organizations.html
• Next Generation ACO Model: http://innovation.cms.gov/initiatives/Next-Generation-ACO-Model