On October 20, 2011, the Centers for Medicare & Medicaid Services (CMS), an agency within the Department of Health & Human Services (HHS), finalized new rules under the Affordable Care Act to help doctors, hospitals, and other health care providers better coordinate care for Medicare patients through Accountable Care Organizations (ACOs).
ACOs create incentives for health care providers to work together to treat an individual patient across care settings - including doctor's offices, hospitals, and long-term care facilities. The Medicare Shared Savings Program (Shared Savings Program) will reward ACOs that lower their growth in health care costs while meeting performance standards on quality of care and putting patients first. Provider participation in an ACO is purely voluntary.
Under the final rule, an ACO refers to a group of providers and suppliers of services (e.g., hospitals, physicians, and others involved in patient care) that will work together to coordinate care for the Medicare Fee-For-Service patients they serve. The goal of an ACO is to deliver seamless, high-quality care for Medicare beneficiaries, instead of the fragmented care that often results from a Fee-For-Service payment system in which different providers receive different, disconnected payments. The ACO will be a patient-centered organization where the patient and providers are true partners in care decisions.
As a Princeton HealthCare Partners provider, you'll enjoy the privilege of working together with providers to provide proactive, highly-coordinated, patient-centered care that not only improves patient outcomes but creates value through gained efficienciy and shared savings.
As a Princeton HealthCare Partners participant, you'll be provided with the resources needed to help improve quality of care and patient outcomes, leading to the desired shared savings of participation in a successful accountable care organization.
For Frequently Asked Questions about the Medicare Shared Savings Program
For more information about ACOs
Visit Medicare.gov/manage-your-health/coordinating-your-care/ accountable-care-organizations.html.
Call 1-800-MEDICARE 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.
Princeton HealthCare Partners, LLC
Address: 1 Plainsboro Road Plainsboro, NJ 08536
Compliance Line: 609.853.7900
ACO Primary Contact: Patricia Muniz, email firstname.lastname@example.org or call 609.853.7256
Princeton HealthCare Partners, LLC (PHP) is a participant in the Medicare Shared Savings Program as an accountable care organization (ACO) and as such is subject to various laws, regulations and guidelines related to that program. The PHP Compliance Program applies to all PHP personnel and PHP participants, providers and suppliers.
The following documents are part of Princeton HealthCare Partners, LLC's compliance program and are intended as a reference for Princeton HealthCare Partners, LLC's participants, providers and suppliers. Please contact the ACO Compliance Officer for additional information.