LHS Health Network Helps Providers Coordinate Care
By helping doctors and primary care providers communicate more closely with beneficiaries and other healthcare providers, ACOs such as LHS Health Network are able to deliver more coordinated care to meet individual needs and preferences.
What is an Accountable Care Organization (ACO)?
An ACO is a healthcare organization with a payment and care delivery model that seeks to achieve quality metrics and reduce the total costs of care for an assigned population of patients. ACOs, such as LHS Health Network, are accountable to patients and third-party payers for the quality, appropriateness, and efficiency of the healthcare provided. According to the Centers for Medicare and Medicaid Services (CMS), an ACO is “an organization of healthcare providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it.”
Benefits of an ACO
ACOs such as LHS Health Network focus on preventative, coordinated care to keep costs low. ACOs can share in the savings they achieve for third-party payers such as Medicare when the ACOs succeed in delivering high-quality care and spending healthcare dollars wisely. ACOs must meet specific quality metrics to share in these savings.
What is measured is managed. Medicare and participating third-party payers have developed quality metrics for measuring LHS Health Network’s performance in improving healthcare quality. Areas of focus include:
- Patient experience
- Care coordination
- Patient safety
- Preventative health
ACOs do not change your Medicare Benefits
Beneficiaries’ Medicare benefits will not change under the ACO model of care. ACOs are not a Medicare Advantage Plan, an HMO plan, or an insurance plan. Beneficiaries maintain the right to use any doctor or hospital that accepts Medicare at any time.
Declining to share your medical information with LHS Health Network
LHS Health Network values beneficiaries’ privacy and respects beneficiaries’ choices on the use of their personal health information for care coordination and quality improvement.
Beneficiaries can ask Medicare not to share information with LHS Health Network or other ACOs for care coordination and quality improvement purposes by calling 1-800-MEDICARE (1-800-633-4227). Be sure to tell the Medicare representative that you are calling about ACOs. TTY users should call 1-877-486-2048.
Please call LHS Health Network at (856) 757-3040 or make an appointment to see your primary care provider and mention your questions or concerns during your next visit.
You can also call 1-800-MEDICARE and tell the representative that you are calling about ACOs, or visit www.medicare.gov/acos.html .