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Share in the Savings

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The Shared Savings Program Offers 2 Options for Accountable Care Organizations

One-Sided Option:

An ACO that creates savings of at least two percent would receive 50% of the savings above that threshold and Medicare would receive the other 50%. In the first two years, the ACO would have no responsibility if their costs exceeded their target, however all ACOs are responsible for losses in year 3.

Two-Sided Option:

In this option, an ACO would receive 60 percent of any savings, but would be responsible for any losses, even in the first two years.

Self-Funding

More flexibility and the opportunity for savings make it critical for Accountable Care Organizations to offer self-funded group health plans.

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Population Health Management

Find the resources and tools your ACO will need to manage population health, share ACO data with the Center for Medicare and Medicaid Services (CMS), improve population health and slow the growth of Medicare expenditures.

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Electronic Health Records

erecordsIn an ACO, at least 50% of the primary care physicians must have Electronic Health Record capabilities. The purpose is to provide for data sharing with the Center for Medicare and Medicaid Services (CMS) and comply with strict adherence to medication protocols. It also helps providers place a greater emphasis on patient screenings.