Question

Urban and rural health care organizations throughout the industry are working together to coordinate care for Medicare patients. Accountable Care Organization (ACO) programs were established by the Centers for Medicare and Medicaid Services to help facilitate this cooperation.

Select a type of health care organization that would accept Medicare patients (e.g., family practice, hospital, urgent care, or nursing home).

Write a 700- to 1,050-word executive summary that discusses the purpose of joining an ACO and the funding available through one. Include the following:

Describe the organization you selected and the general services that would be offered to Medicare patients.

Describe the types of ACOs recognized by the Centers for Medicare and Medicaid Services.

Evaluate industry dynamics that would influence your organization's decision to participate in an ACO.

Identify the steps needed to participate in an ACO.

Justify participation in an ACO for your organization.

Answer 1

Medicare is covered in the nursing home facility. Most of the nursing home cares are custodial care and they provide health and care facility. Custodial care is not included in Medicare.

It also focuses on providing long term care with comprehensive medical, personal and social services. It helps to meet physical , social, and emotional needs chronically I'll and disabled people.

There is extensive care offered in nursing homes including registered nurse, medical monitoring and treatments. The other services include trained professionals, such as physical, occupational, and respiratory therapists.

Medicare patients are provided with the benefits of Medicare insurance program and health care benefits. There is insurance protection and health care coverage. There is 100 days of nursing care provided for Medicare patients. If there is custodial care provided then Medicare won't be able to cover it. It is able to pay for the purpose of skilled care in nursing facility with license of Medicare. It offers private long term insurance care option and the policies offer several advantages.

Accountable Care Organizations (ACOs) are essential doctor, hospital, health care provider groups who work together for providing high quality care for the Medicare patients. Coordinated care is their focus and they stress on ensuring that for the patients and avoid prevention of medical errors and duplication of services.

There are several ACO programs offered including Medicare shared savings program, advance payment ACO model pioneer ACO model. The organizations focus on transforming the way delivered care is provided and it supports Medicare