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Assignment 1: Accountable Care Organizations Accountable Care Organizations (ACOs) play a key role in coordinating health care services for Medicare beneficiaries. These organizations have largely...

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Assignment 1: Accountable Care Organizations

Accountable Care Organizations (ACOs) play a key role in coordinating health care services for Medicare beneficiaries. These organizations have largely become consumer driven, making marketing and health care consumerism central to their success. By offering and marketing evidence-based, patient-centered services and initiatives, ACOs can better connect with consumers. For this Assignment, you examine the services and initiatives for an ACO in your state.

To prepare:

  • Select an ACO from the website ACOs in Your State in this week’s Learning Resources.
  • Identify evidence-based services/initiatives that the ACO is using.

    Note: To determine if services/initiatives are evidence-based, go to http://innovation.cms.gov/

  • Consider the following:
    • Is the ACO using services/initiatives that the Centers for Medicare & Medicaid Services (CMS) recognize and for which they offer reimbursements?
    • How does the ACO market these services/initiatives to increase health care consumerism?

The Assignment

In a matrix, analyze evidence-based services/initiatives that the ACO you selected is using for each of the following:

  • Quality of care
  • IT
  • Marketing
  • Financial outcomes
  • Population health programs
  • Vertical versus horizontal integration
  • Operational excellence

Include whether the ACO is using approaches that CMS recognizes for reimbursements and how these initiatives/services increase health care consumerism.

Synthesize the information you have gathered from your analysis so that each bullet point clearly represents the most significant considerations within each category. While this is a 1-page document that might appear to be simple, each point must be the result of deep and critical thinking.

Answered Same Day Apr 22, 2021

Solution

Soumi answered on Apr 23 2021
149 Votes
Running Head: ACCOUNTABLE CARE ORGANIZATION    1
ACCOUNTABLE CARE ORGANIZATION        5
ACCOUNTABLE CARE ORGANIZATION
Table of Contents
Analysis Matrix    3
Evidence-based services/initiatives used by Accountable Care Organizations (ACO)    3
Services by ACO recognized by Centers for Medicare and Medicaid Services (CMS)    4
Marketing of services by ACO to increase healthcare consumerism    4
References    5
Analysis Matrix
    Services/Initiatives
    Analysis
    Quality of Care
    They prefer high quality care instead of quantity care
    IT
    Good services are provided by Heritage network provide
    Marketing
    Reputation and service offers help in marketing
    Financial Outcomes
    The company is the largest and one of the few renowned ACOs in USA, which follows latest ACO models
    Population Health Programs
    Population health program covers chronic diseases, clinical guidelines, population and preventive medicines, and educational sessions for consumers
    Vertical versus Horizontal Integration
    The company follows horizontal integration that is they merge with companies having same level
    Operational Excellence
    Heritage California is known for its coordinated operation all over California. It has high quality operational excellence.
Evidence-based services/initiatives used by Accountable Care Organizations (ACO)
The organization selected is ‘Heritage California ACO’. Heritage California is one of the few organizations,...
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