Accountable Care Organizations (ACO) represent a growing opportunity for palliative care companies, and providers have a number of ways to get in on the ground floor.
Along with Medicare Advantage, ACOs are one of the few avenues towards more robust reimbursement than fee-for-service models. Operators can come to ACOs by two main avenues. For one, they can become members of those organizations themselves, or they can contract with them through a preferred provider network.
This may be increasingly important to explore as the U.S. Centers for Medicare & Medicaid Services (CMS) has announced plans to ensure that 100% of Medicare beneficiaries become aligned with an accountable care entity.
“When we think about the value-based world, there’s a lot of value to be delivered that maybe is not captured in the fee-for-service world,” Dr. Thomas Lee, vice president of medical affairs for Ennoble Care, told Hospice News. “The ACO gives us the flexibility to provide that team-based approach and show that it’s cost effective to do these things.”