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Long-term care residents are historically overlooked and require high-cost, complex healthcare services. Accountable care organizations (ACOs) present an opportunity for providers to earn shared savings while improving care quality for this population.
Focusing on boosting ACO participation in the long-term care sector could help CMS achieve its goal of having 100 percent of fee-for-service lives covered by value-based programs by 2030. LTC ACO, the first value-based entity to serve Medicare beneficiaries in long-term care settings, has helped expand access to coordinated care for these residents.
“The bulk of this population is still participating in Medicare fee-for-service, so there’s a huge opportunity to get their providers participating in value-based care programs. Our mission is to reach as many lives as we can in the space,” Kristen Krzyzewski, senior vice president and chief of strategy and program development for LTC ACO, told RevCycleIntelligence.
“We’ve demonstrated that it is a good opportunity, both from a mission perspective and what we’re trying to accomplish for beneficiaries and the Medicare program, but then also from a business perspective, we’ve been able to put savings on the street and deliver on that promise to our participating providers.”