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Accountable Care Organizations (ACOs) Implications for Regional Health Plans

Accountable Care Organizations (ACOs) Implications for Regional Health Plans PRESENTING: ANNA HELMS FEBRUARY 14, 2011. Outline. What is an ACO? Why are providers forming ACOs? What is the role of a health plans in an ACO?. ACOs Q+A.

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Accountable Care Organizations (ACOs) Implications for Regional Health Plans

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  1. Accountable Care Organizations (ACOs) Implications for Regional Health Plans PRESENTING: ANNA HELMS FEBRUARY 14, 2011

  2. Outline • What is an ACO? • Why are providers forming ACOs? • What is the role of a health plans in an ACO?

  3. ACOs Q+A Q.How much extra money is CMS planning to spend on ACOs? A. $0; if ACOs work properly CMS will pay less money for Medicare services in communities. Q. How many ACOs can a provider participate in? A. For Medicare FFS, the law seems to limit participation to one ACO, but a provider could participate in other ACOs with multiple commercial payers or their state.

  4. Current Payment

  5. Phone: 202-785-2247 Fax: 202-785-4060 www.ACHP.ORG 1825 Eye Street, NW, Suite 401, Washington, DC 20006

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