The Patient Protection And Affordable Care Act Essay

The Patient Protection And Affordable Care Act Essay

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In this paper you are going to learn all about the Accountable Care Organization (ACO). Also, how does it pertain to the healthcare system? We will also be learning about the reimbursement rates for Medicare patients. Who makes up the Accountable Care Organization? We will also take a look into the Affordable Care Act and how the ACO is a part of that.
What is the Accountable Care Organization? “Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients” (www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html). The ACO is a component of the Affordable Care Act (ACA). “The Patient Protection and Affordable Care Act (PPACA) – also known as the Affordable Care Act or ACA, and generally referred to as Obamacare – is the landmark health reform legislation passed by the 111th Congress and signed into law by President Barack Obama in March 2010” (www.healthinsurance.org). One of the main reasons the ACO mainly focuses on Medicare patients because due to the aging, their health problems will become chronic disease and that will have an impact on the healthcare cost years to come. It is stated that about 78% of the total health care is spent for chronic diseases.
Experts state that there are three essential characters of ACOs: 1. They have the ability to manage patients across for continued care and that includes acute, ambulatory, and post acute health services. 2. The capability for them to plan the budgets and determine what resources are needed. 3. ACOs want the appropriate size to support comprehensive, valid, and reliable measurement of performance. “These analysts proposed ...


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...system characteristics of these HSAs to analyze characteristics associated with the local presence of one or more ACOs, using multivariate logistic regression to estimate the relative importance of each attribute” (Lewis, Colla, Carluzzo, Kler, & Fisher, 2013, p. 1844). They would study the population and identify and locate ACOs. First they identify participates in federal ACO programs. Next, identify the ACOs participating in state Medicaid ACO programs. Lastly, we must identify commercial payer ACOs. Next the study looks the local areas HSAs. The results show, “the proportion of residents under the federal poverty threshold is negatively associated with ACO presence, meaning HSAs with higher poverty rates are less likely to have an ACO present (16 percent) compared to places with lower poverty (27 percent)” (Lewis, Colla, Carluzzo, Kler, & Fisher, 2013, p. 1853).

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