An integrated healthcare model where a group of healthcare providers, including doctors and hospitals, collaboratively work together to improve the quality and efficiency of healthcare delivery. ACOs are accountable for the health outcomes and overall cost of care for a defined population.
A healthcare delivery model that focuses on improving patient outcomes while controlling costs. ACOs often operate under a value-based care approach, shifting from fee-for-service to a payment system that rewards positive patient outcomes.
The practice of managing the health and well-being of a defined group of individuals. ACOs employ population health management strategies to enhance preventive care, manage chronic conditions, and improve overall health outcomes for their assigned patient population.
The process of organizing and coordinating healthcare services to ensure seamless and efficient care delivery. ACOs emphasize care coordination to enhance communication among healthcare providers and improve patient transitions between different levels of care.
A financial incentive mechanism where ACOs can receive a portion of the cost savings achieved through improved care coordination and outcomes. This encourages ACOs to focus on cost-effective healthcare practices without compromising quality.
The seamless coordination of healthcare services across various levels, from primary care to specialty care, and even post-acute care. ACOs aim to optimize the care continuum to provide comprehensive and well-coordinated services to patients.
Coined by the Institute for Healthcare Improvement (IHI), the Triple Aim represents three key goals of healthcare delivery: improving population health, enhancing the patient experience, and reducing per capita healthcare costs. ACOs align their strategies with the Triple Aim framework.
Quantifiable metrics are used to assess and monitor the quality of healthcare services. ACOs regularly track and report quality measures to demonstrate their commitment to providing high-quality care and achieving positive patient outcomes.
Digital systems that store and manage patients’ health information. ACOs leverage EHRs to facilitate information sharing among healthcare providers, support care coordination, and enhance the overall efficiency of healthcare delivery.
A process used to account for variations in the health status of a patient population. ACOs often employ risk adjustment methodologies to ensure fair and accurate assessments of the healthcare needs of their assigned population, especially in the context of financial arrangements.