Term Accountable Care Organizations
Code NS-8000.5000-020
Definition Groups of health care providers and suppliers of services (e.g., hospitals, physicians and others involved in patient care) who agree to be collectively accountable for the quality, cost and overall care of an assigned group of Medicare beneficiaries who are enrolled in the traditional fee-for-service program (i.e., those who are not in the Medicare Advantage private plan). ACOs represent a type of payment and delivery reform model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned population of patients; and function as patient-centered organizations where patients and providers are true partners in care decisions. Patient and provider participation in an ACO is purely voluntary.
Created 7/19/11
Changed 5/14/15
Use References ACOs
See Also References
External Classification Terms Health (CAN HC-300)
Health Care (AIRS HC-300)
Health Insurance (NPC Y02.03)
Health Insurance for the Aged and Disabled-Hospital-MEDICARE (UW 2.4.14.01)
Health Insurance for the Aged and Disabled-Supp Ins-MEDICAR (UW 2.4.14.02)
Insurance Providers (NTE Y20)
Related Concepts Disabilities
Financial Services/Benefits
Insurance
Long Term Care
Named Programs
Older Adults
Organization/Facility Type
U.S. Services/Targets
Facet Organization/Facility Type
Comments
Bibliographic References "Accountable Care Organization", Wikipedia, the Free Encyclopedia, http://en.wikipedia.org/wiki/Accountable_care_organization

"Accountable Care Organizations: Improving Care Coordination for People with Medicare", http://www.healthcare.gov/news/factsheets/accountablecare03312011a.html

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