Can Accountable Care Organizations Really Help?

If you are receiving the benefits offered by Medicare, you will be interested in learning new ways that will help you save some money while increasing the quality of the health care services you receive. The Patient Protection and Affordable Care act implemented recently made it much easier for people to achieve this goal, and establishment of Accountable Care Organizations played a serious part in this.

a group of young doctorsThese organizations are beneficial to both patients and the government as they optimize the amount of medical care that people receive. They achieve this by eliminating unnecessary visits that are paid by either Medicare or the patients themselves. According to some assumptions, this should help the country as a whole save millions of dollars.

The main goal of ACOs is reducing the fees of treatment for patients and thus, the government that funds Medicare. The system used to achieve this is fairly complex and involves several structurization and optimization methods that aim to simplify the health care system as a whole. If this program works out as it should, this will help people to reduce the number of their visits to various health care specialists.

Did you know that almost a half of doctor visits are almost absolutely useless because people go to the wrong kind of specialist and undergo unnecessary tests? One of the purposes behind the establishment of Accountable Care Organizations is creating a system that will eliminate this problem by helping patients understand whom exactly they need to turn to. This alone will be a great step forward for the health care system as a whole.

Cut Down on Fees: Is This Possible?

Another important thing that ACOs aim to achieve is making various health care providers cut down their fees to a minimum. In fact, some of the stipulations of these organizations make it impossible for doctors to charge any fee for some procedures. This means that these services should be provided for free, and this will cost some money to the health care institution that offers them.

Naturally, this part of the deal puts many health care providers off the very idea of ACOs, and they are rather reluctant of joining these organizations. This made the government establish several incentives that compensate these medical institutions for the expenses incurred due to these changes.

In theory, ACOs should help reduce the number of frauds that make money off encouraging people to undergo unnecessary treatment and testing. However, this system will also limit the amount of care that patients receive, even if the actually need it. Thus, only the time will tell whether establishing ACOs has really been a good idea.