Why Accountable Care is for You (and your residents)

Accountable Care Organizations (ACO’s) are groups of physicians, hospitals, insurers, and community-based organizations that come together to coordinate care for a defined population of patients.

Picture a healthcare system where people, even though living longer, are healthier than ever before; the quality of care is continually improving, and the cost of care is affordable for all Americans.

Now imagine this…healthcare providers across the country, from primary care doctors and specialists, to hospitals and large health systems, are all collaborating and coordinating care with each other to improve outcomes for their patient populations.

That’s Accountable Care in action. The job of ACO’s is to seek out long-term and post-acute care providers that can demonstrate the ability to safely prevent re-admissions. Those that do so are predicted to become favored partners for Medicare discharges and gain a competitive edge in their markets where ACO’s are active. In essence, as subcontractors to ACO’s, assisted living providers may, for the first time ever, become part of the Medicare revenue stream.

ACO’s will soon provide a huge opportunity for residential care. Are you ready to be a part of it?

This tip was provided by AtCura. Come hear AtCura speak about ACO’s and their impact on the residential care market at Small Provider Conference this December.

2 Responses to “Why Accountable Care is for You (and your residents)”

  1. Great stuff! Thanks for keeping us on the front lines with the latest info C&C.

  2. ACO PARTICIPATION SURELY CUTS BOTH WAYS. RCFE owners and operators have always valued the high level of freedom they have enjoyed. This included the freedom to charge fees as they see fit, accept or retain those they felt fit in their communities, and to operate with minimal interference. It is naive to suggest that bringing our communities into the “Medicare revenue stream” is altogether good.

    Some operators will surely find ways to keep their communities full with ACO referrals but this decision will come with new regulatory powers, billing limits, and retention restrictions.

    As RCFEs become the affordable sub-acute long term care model of the future we will increasingly find more regulation and interference from government in decisions currently held dear. We will find our margins squeezed as the ACOs extract their profits at our expense.

    It is also a great danger to think simply because we may opt out that we can operate as we have in this environment. This regulatory expansion will impact those communities who have no interest in accepting ACO residents as managed and funded polices are adopted system wide.

    Forgive me if I do not cheer this “opportunity” with the wide eyed optimism of AtCura or others set to profit from the gradual absorption of our industry into the Medicare mainstream. The benefits may be more than offset by the hidden costs of subordinating our businesses to a government funding model.

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