What is an ACO?
What does ACO stand for?
Accountable Care Organization
True or False:
Only commercial payers participate in ACOs?
False
What is the current number of Medicare beneficiaries covered by ACOs
10.9M
True or False:
ACOs can be hospital or physician based?
True
What is the difference between upside and downside risk?
True or False:
ACOs help shift the overall population to health-driven care versus volume driven care.
True
What are the two types of Medicare ACO programs active today?
MSSP & NexGen ACOs
How many quality metrics are ACOs in the MSSP accountable for?
23
_____ of ACOs currently participating in the MSSP assume downside risk - up from _____ in 2018.
37%
17.4%
What % of ACOs participate in a commercial insurance plan?
55%
True or False:
ACOs are all incentivized by risk arrangements therefore, they all operate in the same way?
False
Medicare net spending increased or decreased among NextGen ACOs participants during the model's first 2 years.
Increased
ACOs receive shared saving bonuses for ______ & ______?
Lowering costs & increasing quality
Name 4 steps of ACO payment cycle...
Assignment, Billing, Comparison & Shared Savings
As a KAM, name two resources you could utilize to find out information about an ACO?
DRG, Definitive Health, VAL, Google ACO, etc.