what does aco mean in healthcare?
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Accountable Care Organizations (ACOs) What is an ACO? ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients.
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Affordable Care Act (ACA) The comprehensive health care reform law enacted in March 2010 (sometimes known as ACA, PPACA, or “Obamacare”).
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Preferred Provider Organization (PPO) A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.
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TRICARE Select. TRICARE Select (previously named TRICARE Standard) is a preferred provider organization (PPO) health plan. A PPO provides the greatest choice in health care providers in exchange for some extra costs.
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Administrative Contracting Officer (ACO) Definition: The U.S. government contracting officer who is assigned the responsibility for the administration of U.S. government contracts.
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An HMO gives you access to certain doctors and hospitals within its network. A network is made up of providers that have agreed to lower their rates for plan members and also meet quality standards. But unlike PPO plans, care under an HMO plan is covered only if you see a provider within that HMO's network.
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A general physical examination, often shortened to a “physical,” is the term used by most people (and most insurance companies, including the ACA/Obamacare) to refer to a periodic encounter for preventive care. Other synonyms include a well visit, or just a checkup.
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Quality Measurement CMS measures every ACO's quality performance using standard methods. Quality measures span four domains: patient/caregiver experience, care coordination/patient safety, preventive health, and at-risk populations. ... CAHPS for ACOs Survey website.
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What is the meaning of the term access. Ability to get health care when needed. A service is cost efficient when. The benefit received is greater than the cost incurred to provide the service. The number of uninsured Americans most commonly reported by media is somewhere around.
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Health Care Operations. Health care operations are certain administrative, financial, legal, and quality improvement activities of a covered entity that are necessary to run its business and to support the core functions of treatment and payment.
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The AAPC, previously known by the full title of the American Academy of Professional Coders, is a professional association for people working in specific areas of administration within healthcare businesses in the United States.
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ACOs in the United States are formed from a group of coordinated health-care practitioners. They use alternative payment models, normally, capitation. The organization is accountable to patients and third-party payers for the quality, appropriateness and efficiency of the health care provided.
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HMO and PPO plans are different because they pay for and control health care services in different ways. In general, the term managed care organization (MCO) is used to describe all of these different types of managed care. MCO is a broad generic term for organizations involved in managed care.
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The ACA is the most consequential and comprehensive health care reform enacted since Medicare. The ACA has gained a net increase in the number of individuals with insurance, primarily through Medicaid expansion. The reduction in costs is an arguable achievement, while quality of care has seemingly not improved.
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noun. a federal law providing for a fundamental reform of the U.S. healthcare and health insurance system, signed by President Barack Obama in 2010: formally called Affordable Care Act or Patient Protection and Affordable Care Act.
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ObamaCare: Another step toward corporate socialized medicine in the US. ... Small steps, incremental “reforms,” have taken place in American medicine via increased rules and regulations regarding utilization and rationing of services, coverage, payments to physicians, etc.
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At the end of the first quarter of 2018, we were tracking a total of 1,011 ACOs representing 1,477 distinct active accountable care payment contracts with public and private payers. Combined, these contracts cover about 32.7 million patients in all regions of the country.