Managed Care and Accountable Care Organizations (ACOs) Please share your experie

Question

Managed Care and Accountable Care Organizations (ACOs)

Please share your experience on selecting a managed care plan. Please discuss the advantages and disadvantages of your MCO plan.

Many argue that there is no consistent, direct correlation between the cost of care and its quality in a managed care program. Do you agree or disagree?

Do you think patient’s choice of provider and access to care will be limited under ACOs?

In what ways can an ACO succeed in both delivering high-quality care and spending health care dollars more wisely?

Explanation / Answer

An ACO is a network of doctors and hospitals that shares financial and medical responsibility for providing coordinated care to patients in hopes of limiting unnecessary spending.

Managed care is a system of health care emphasizing preventative medicine and home treatment.

Managed care is given at home is useful for the chronic ill people who can offord the money at hospitals.

Advantages of MCO:

Disadvantages of MCO:

Yes i agree there would be difference in quality of care verses cost, if you pay more money they will get mobile instruments to the home to give quality care otherwise they need to get inadequate treatment with the limited money. At times peoples has to buy things for home personally whereas in hospital all the costly equipment can be used for the better care providing for single cost at the billing.

In ACO people may not acceptable to get treated for a long time so chronic ill patient would prefer home care. and emergency and critical care people has to be in ACO.

ACO is succeeding with quality care and appropriate utilisation of dollars by Robust health IT infrastructure and data analytics capabilities, Adherence to innovative care improvement frameworks and limiting unnecessary spending.

** In Obamacare, each ACO has to manage the health care needs of a minimum of 5,000 Medicare beneficiaries for at least three years.

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