The Affordable Care Act, also known as Obamacare, was created to lower health care costs so all Americans could afford quality medical attention. A key to this new federal healthcare reform is something called accountable care organization or ACOs. Policy makers believe these ACOs have the ability to revolutionize the nation’s healthcare.
The concept is similar to health maintenance organizations. HMOs receive a certain amount of money for each patient every year and the less money they spend on these patients, the more profits they make. With ACOs, if they spend less money on patients but patients have poor health outcomes and hospital readmissions, companies could be penalized. If patients remain healthy and cost Medicare less, ACO member providers like hospitals, doctors, home health agencies and others can share in the savings.
ACOs will also provide care coordinators that will follow up with patients and make sure they have received their prescriptions or scheduled appointments with their doctors. The idea is the care coordinator will help to cut down on hospital readmissions and additional costs by making sure patients are following their doctors’ orders. Quality assurance techniques such as second opinions will also be mandated under Obamacare.
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Article link: http://www.miamiherald.com/2013/04/08/3329532/cheaper-better-healthcare-yes.html#storylink=misearch