Case Study : Health Share Of Oregon

1270 Words6 Pages
Case Study: Health Share of Oregon In the era of Patient Protection and Affordable Care Act (ACA), healthcare needs are exponentially increasing with a number of concerns such as, chronic as well as aging population, medical costs, uninsured patients, shortage of physicians, more emergency visits, and what not. Under such circumstances, to avoid higher healthcare cost towards specialty and emergency care, primary care physicians must coordinate care more effectively. One such strategy that has gained momentum over time, is envisioned to improve both medical cost and care is Accountable Care Organization (ACO). Accountable Care Organization (ACO) ACO is an organization that focuses on coordinated care through a group of physicians and hospitals for a defined population that directly interacts with the payers instead of going through health insurance plans (Beasley, 2015). The primary goal of ACO is to provide higher quality care while reducing the healthcare costs (Beasley, 2015). To According to Macfarlane (2014), a number of Centers for Medicare and Medicaid Services (CMS) have been promoting ACOs, due to which over the past few years the number of ACOs have expanded to more than 300 organizations. To further promote the use of ACO, CMS has even implemented a shared saving program as a promotional scheme (Beasley, 2015). Additionally, ACOs are known to set regulatory standards such as have a certain payment rules, have an estimated budget, or grant financial waivers that
Open Document