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Category: Employer Stop Loss

ACO (Accountable Care Organization): Nothing New… It’s A Senior Capitated PHO/IPA Rebranded

There is one good idea in the healthcare reform, ACO’s are ( as proposed) integrated systems where providers and facilities work in tandem to minimize cost of healthcare for seniors while maintaining quality care. To accomplish this, the ACO will be given a defined budget, and will reap rewards if they spend less (ration healthcare) than the budget, or be punished (i.e. pay for it) if they exceed the budget.