Still looking for Paris Evergreen Medical Group? This article tells you!
The relationship between Paris Evergreen Medical Group payer and PCMH will not change, except for the specified increase in reimbursement.
A responsible care organization of the Paris Evergreen Medical Group is a group of providers that can include a team of physicians, experts, ambulatory care facilities, hospitals, and long-term care facilities. ACO signs a contract with Paris Evergreen Medical Group, the payer, to provide services for the patient group specified by the payer at the price per patient specified by the payer. The service must reach the quality specified by the payer. If the ACO can provide the service with the specified quality and the price is lower than the price stipulated in the contract, it can be rewarded by retaining the percentage savings stipulated in the contract.
ACO forms a governance structure for its members, which guides how to share savings.
The governing body also strives to keep patients in the ACO network, allowing patients to seek all care from ACO members or groups coordinated with ACO. When members of ACO work closely to provide evidence-based care for their assigned patients, ACO benefits.
Like PCMH, ACO is also very patient-centric.
They have developed a culture that focuses on the needs of patients. They worked together to achieve many of the aforementionedParis Evergreen Medical Group goals. In addition, they must have a management structure to support continuous quality improvement in patient care and to comply with the measures established by the payer. ACO is often committed to providing compatible health information technology in its network to better coordinate medical services. Because the governing body of ACO sets achievement standards for all members, experts usually provide a lot of support in helping members achieve their goals. However, if after a period of time, ACO members cannot achieve the set goals, they can be removed from the ACO.
Considering that the ways of reimbursing medical providers are constantly changing, I suggest that they carefully consider being designated as PCMH or becoming a member of ACO.
Providers who are flexible and willing to work hard to achieve ACO or PCMH goals will most of the time find that doing so can bring economic returns. I also recommend that primary care doctors participating in ACO be designated as PCMH, because the rewards for doing so can help ACO achieve its goals, and PCP can get reward contracts from payers who are not ACO. If you want to learn more about comparing ACO and PCMH, I find the article in "Medical Economics" very helpful. Go here to go to the article.