Opportunities and Accountable Care Organizations by https://padlet.com/jhwestrup/lqpbw2mb5dkx A change in the healthcare payment paradigm en-us 2018-02-22 17:08:31 UTC 2023-01-20 09:21:32 UTC hello@padlet.com Accountable Care Organizations (ACO)- a change in the Healthcare payment paradigm jhwestrup https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234353633 2018-02-22 17:16:30 UTC https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234353633 Pros: jhwestrup https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234365721 - Promotes accountability and increased financial incentives for physicians and the quality of care provided to keep patients healthy.
- Decreases medical costs for patients compliance to an ACO health recommendation.
- Better care for patients due to an increased efficiency and data between primary care physicians and specialists.
- Elimination of duplicate services for patients.]]> 2018-02-22 17:35:29 UTC https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234365721 Cons: jhwestrup https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234421396 - Increased initial cost overhead for initiation of ACO infrastructure.
- Risk on patient privacy due to sharing of information with many health providers within the ACO.
- Increased administrative burdens
- Decreased Physician autonomy]]> 2018-02-22 18:57:37 UTC https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234421396 Summary: jhwestrup https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234472243 ACOs allow hospitals, healthcare providers and doctors to better coordinate care for Medicare patients. ACOs are rewarded when the meet quality performance standards and lower healthcare cost growth. Performance in these organizations are measured via quality of care reports and patient experience surveys. ACOs allow for care teams consisting of multiple physicians to communicate with each other to efficiently provide care through shared history and test results. ACOs work provide a need for infrastructure that is able to securely transmit patient data across platforms to be used by medical professionals. This information management to communicate data is a key aspect to of nurse informatics to provide patient data to the interprofessional healthcare team.]]> 2018-02-22 20:18:56 UTC https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234472243 Opinions: jhwestrup https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234494024 ACO's offer a paradigm shift from the standard fee for service to pay for performance where healthcare providers are not paid based on quantity but instead paid by the quality of care given. I believe this approach is an interesting shift from the prior pay by volume of service approach. The paradigm shift though group/government oriented almost offers a more privatized capitalistic approach due to the pay for quality dynamic. Groups of high performing doctors could be in a large demand compared to those who underperform with in the ACO model. I find it intriguing that patients should also receive a decrease in cost for treatment. Patient compliance has always been a problem for healthcare providers and in this performance based system if patient's are not compliant one would expect a performance rating to decrease. If patients are not compliant I believe ACO groups should have the ability to remove patients from these groups to prevent decrease in performance for these ACO groups.]]> 2018-02-22 21:07:23 UTC https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234494024 jhwestrup https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234789089 2018-02-23 16:57:27 UTC https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234789089 Reference jhwestrup https://padlet.com/jhwestrup/lqpbw2mb5dkx/wish/234800238     Babyar, J. (2016). Opportunities and Accountable Care Organizations. Journal of Medical Systems, 40(11). doi:10.1007/s10916-016-0625-z

Brice, R. A., Kimberly, M., & Woodard, T. (2017). eACOs: Fixing the Broken Triangle in Health Care. Benefits Magazine, 54(11), 30-39. 
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