ACCOUNTABLE CARE ORGANISATIONS AND SUSTAINABILITY & TRANSFORMATION PLANS Keep Our NHS Public Norfolk, June 2017 Accountable Care Organisations (ACOs) are American. The ACO concept immediately sparked a great deal of interest and debate. Accountable Care Organisations (ACOs) will be handed most of the budget for area’s health and social care, to be provided by NHS, local authority, private and third sector companies - all partners in the ACO. Accountable Care Organizations (ACOs) are one way that we’re working to better coordinate your care. 1.2 Origins of Accountable Care Organisations (ACOs) Ideas around ‘accountable’ or ‘managed’ care are not new. 1 In assuming this responsibility, providers share in any savings or in any potential costs when service delivery and cost are compared to historical benchmarks. They have been used in the US since the 1960s. NHS policy makers should not copy US ACOs but they can learn from their experience, say Hugh Alderwick and colleagues Everybody in the NHS policy world in England seems to be talking about accountable care organisations (ACOs)—a concept borrowed from the US. Accountable care organizations (ACOs) are groups of physicians, hospitals and other healthcare providers who voluntarily come together to assume collective responsibility for the care of a specific population. America notoriously treats health care as a commodity, with far higher costs and far worse health outcomes than England.1 Unlike the NHS, which is a single-payer, tax-funded and publicly-provided service covering … The term Accountable Care Organization was first coined in 2006 by Elliott Fisher, MD, Director of the Center for Health Policy Research at the Dartmouth Medical School. If your doctor has decided to participate in an ACO and you have Original Medicare, you will get a written notice from your doctor or there will be a poster in your doctor's office about your … a route to stealth NHS privatisation . Some, including NHS England and the health secretary, see ACOs (and the related accountable care systems) as a route to better NHS care … Accountable Care Organisations . If introduced, ACOs are designed to help deliver more care in the community and patients’ homes, improving access to services and meaning fewer trips to hospital. Perhaps the most well-known provider of Accountable Care in the US is Kaiser Permanente whose Health … Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to the Medicare patients they serve. Accountable Care Organisations (ACOs) aim to integrate care and bring services together, so people’s care is coordinated around them. An ACO integrates primary, secondary, and community care for a large defined geographical area, and operates under one capitated – a set amount per head – budget, run by one organisation. Accountable care organisations (ACOs) are a model of integrated care that NHS England and the government are trying to introduce in this country.

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