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Can the ACO health delivery system truly provide optimal health care at a lower cost...

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smittyc | Honors

Posted May 13, 2013 at 10:21 PM via web

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  • Can the ACO health delivery system truly provide optimal health care at a lower cost and still focus on the patients’ needs?
  • What happens if a patient requires treatment for a condition not covered by the ACO?

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Kay Morse | College Teacher | (Level 1) Senior Educator

Posted May 14, 2013 at 10:24 PM (Answer #1)

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Accountable Care Organization (ACOs) are newly introduced in the market. Blue Shield introduced a ACO in 2010. In 2010, data sharing, upon which ACOs depend, between three organizations were able to identify cost that were unduly high and procedures that were overutilized and readmissions that might have been prevented. Seemingly there is potential to meet patient needs while lowering costs, yet this seems to come through strict channels of external medical control, which may not be acceptable to some.

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Kay Morse

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