Physician Participation Requirements

  • Board certification
  • Eligible to receive Primary Care Incentive Program payments from CMS
  • Electronic Medical Record (EMR must be eligible for incentive programs through the ONC)
  • Patient-Centered Medical Home (PCMH) certification within 12 months of joining;  ACO provides consultant to assist with application and preparation
  • Commitment to the three part aim (improve experience of care, improve health of populations, lower per-capita cost of care)
  • Willingness to comply with the clinical and administrative policies of the ACO

Benefits for Providers Participating in the ACO

  • Be part of an evolving clinically-integrated healthcare delivery system
  • Opportunity to participate in ACO committees and leadership – your ideas and effort will help shape the future of healthcare
  • Develop and refine tools to facilitate high value care
  • Care coordination –patient navigators and transition assistants to assist your patients in accessing the healthcare system
  • Patient self-management and empowerment assistance and programs – increased patient satisfaction
  • Population management IT system – will provide access to patient information from a variety of settings
  • Shared savings - achieve success under performance-based reimbursement methodologies

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