Accountable Care Organizations, a Financial View

Course Description
Presenter: Juliet M. Spector, FSA, MAA
Milliman
According to the Centers for Medicare and Medicaid Services, Accountable Care Organizations (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.

The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.

When an ACO succeeds both in delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.

But will it work, both structurally and financially?  Can their organization support non-Medicare patients as well as Medicare patients? 

This course will explore ACO’s as they have grown; it will look at their key concepts, what failed before, how and why it might work this time.  The course will also present the implications to providers as they consider joining an ACO.  All of the course material will have strong financial insights.

Time to view the course it 20 minutes.

Course Learning Objectives
At the conclusion of this course the learner will understand:

  • Why ACO’s have not been successful up to today.
  • What is new this time around and why it could work.
  • Where the savings would come from to make ACO’s financially viable.
  • The cost of the infrastructure required to do it and how to offset the costs.
  • What the financial benefits would be if everything goes right.
  • What could go wrong.
  • The financial risks and other issues to consider.
  • Are ACO’s the answer.

Time to complete the course is approximately 45 minutes.

Presenter: Juliet M. Spector, FSA, MAA (more)

Developing Organization: Milliman (more)

Course Fee: $119.00