Accountable Care Organization (ACO) Information
Grant Memorial Hospital Family Medicine Clinic announces its participation in the National Rural Accountable Care Consortium – a program designed to help rural Medicare patients live long, healthy lives. As part of the new program, Grant Memorial Hospital Family Medicine Clinic will hire and train a care coordinator to work closely with patients – helping seniors stay healthy, get great care when needed and avoid costly and wasteful repetitive tests. Grant Memorial Hospital Family Medicine Clinic will also have access to important information which will help community physicians evaluate the services of distant specialists, hospitals and other healthcare providers to make the best recommendations for patients.
Mary Beth Barr, CEO states, “When our patients want support, they can come to us for advice and assistance. We will help them find the right health care providers, coordinate their care and help them get the best results. Our mission is to serve the community’s health care needs, and this program will help us do that better than ever.” Initially, Grant Memorial Hospital Family Medicine Clinic will introduce these new programs for Medicare patients, but hopes to expand to other types of insurance as well.
“Grant Memorial Hospital Family Medicine Clinic is doing its part, but the community can play an even larger role in promoting health,” Barr added. “As a community, we need to take responsibility for our health and for each other, and encourage each other to stop smoking, eat healthful foods and get regular exercise. We need to work together for a better future for our friends and neighbors. For example, if you are a Medicare patient, we urge you to get your free annual wellness visit to prevent disease and maintain your health.”
The National Rural Accountable Care Consortium includes over 250 rural community health systems in 40 states, dedicated to helping rural providers achieve the highest level of healthcare quality, efficiency and customer service. For more information contact Hope Kivlehan at 304-257-1026 ext. 2130. You may also call 1-800-MEDICARE and tell the representative you’re calling to learn more about ACOs, or visit Medicare.gov/acos.html.
What’s An Accountable Care Organization (ACO)?
• ACOs are groups of doctors and other health care providers who voluntarily work together with Medicare to give you high quality service and care at the right time in the right setting.
• An ACO is not a Medicare Advantage Plan, (like an HMO or PPO), or an insurance plan.
• ACOs don’t change your Medicare benefits.
How Will An ACO Help My Doctor Coordinate My Care?
• Your doctors will have a more complete picture of your health through talking with your other doctors.
• To help you get better, more coordinated care, Medicare will share certain health information with us about the care you get from your doctors and other health care providers unless you ask Medicare not to share it.
• Dr. Solomon Mutetwa, Grant Memorial Hospital Family Medicine Clinic may continue to recommend that you see particular doctors for your specific health needs, but it’s always your choice about what doctors you see or hospitals you visit.
What Do I Need To Do?
• If you want Medicare to share information about care you’ve received with us, there’s nothing more you need to do.
• If you do not want Medicare to share your health care information with Rural ACO 14, LLC call 1-800 MEDICARE (1-800-633-4227) and tell the representative that your doctor is part of an ACO and you don’t want Medicare to share your health care information. TTY users should call 1-877-486-2048.
• If you do not call 1-800-Medicare and request not to share your health care information, it will be shared with your ACO and with other ACOs in which any of your doctors or other healthcare providers participate for the purposes of care coordination and quality improvement.
• If you change your mind in the future, call 1-800-MEDICARE and tell the representative what you have decided.
• Even if you decline to share your health care information, Medicare will still use your information for some purposes, including certain financial calculations and determining the quality of care given by your health care providers participating in ACOs. Also, Medicare may share some of your health care information with the ACOs when measuring the quality of care given by healthcare providers participating in the ACOs.
If you have questions or concerns, you can talk with Dr. Solomon Mutetwa, Grant Memorial Hospital Family Medicine Clinic at any time, and you can request more information about the Medicare Shared Savings Program and how to decline to share your health information with ACOs. You can also visit www.medicare.gov/acos.html or call 1-800-MEDICARE (TTY users should call 1-877-486-2048).