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PBHE111 Introduction to Health Care Administration : Accountable Care

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Accountable Care Organizations (ACOs) play a key role in coordinating health care services for Medicare beneficiaries. These organizations have largely become consumer driven, making marketing and health care consumerism central to their success. By offering and marketing evidence-based, patient-centered services and initiatives, ACOs can better connect with consumers. For this Assignment, you examine the services and initiatives for an ACO in your state.
Select an ACO from the website ACOs in Your State in this week Learning Resources.
Identify evidence-based services/initiatives that the ACO is using.

Is the ACO using services/initiatives that the Centers for Medicare & Medicaid Services (CMS) recognize and for which they offer reimbursements?

How does the ACO market these services/initiatives to increase health care consumerism?
In a matrix, analyze evidence-based services/initiatives that the ACO you selected is using for each of the following:

Answer:

Health Management Associates (HMA) is one of the leading independent Accountable Care Organization (ACO) that majors in national research as well as a consulting firm for Medicare beneficiaries. It was formed in 1985 and its corporate office is located in Washington Square. Currently, it has about two hundred strong consultants who play a major role in helping its clients through the provision of design support, technical assistance, expertise, and resources to guarantee best health care services to the whole community (HM, 2017).  

  • HMA has guaranteed a quality of care in their services. It is one of the best organization as far as the delivery of healthcare services is concerned. Its main concentration is on the most vulnerable people as well as the healthcare providers who treat them. This has made it possible for the establishment of a population health program in accordance to the government policies and regulations. The organization has made it possible to establish best health care system restructuring, best delivery system, and good payment models, clinical services as well as providing best innovations in Information Technology (HM, 2017).
  • The Health Management Associates (AMA) provide quality Information technologies in accordance with the set requirements of the Center for Medicare and Medicaid Services (CMS). They have assembled the best experts who are dedicated to tackling the challenges that affect the healthcare organizations. They ensure deep implementation of complex IT requirements that are needed in health reforms. The services include conducting of assessments to single out the gaps in the organization that needs to be address (Fairgrieve, 2017).
  • They also support procurement, training assistance and reimbursements hence boosting the trust of their clients and customers (HM, 2017). Additionally, their marketing strategy is involving private firms, companies, banks and other strategic investment organizations in encouraging their workforce to consider obtaining their health care services in their organization (Fairgrieve, 2017).
  • HMA has also ensured that operation excellence is obtained through the finding of more creative and accountable approaches that support healthcare by securing resources. This ensures a safe transition from single service providers to integrated care systems that work simultaneously to guarantee better services.

References:

Fairgrieve, A. (2017). Medicaid Managed Care Enrollment Update – Q3 2017. Health Management Associates. Retrieved October 16, 2017 from https://www.healthmanagement.com/blog/medicaid-managed-care-enrollment-update-q3-2017/.

Health Management (HM). (2017). Integrating systems for better outcomes. Retrieved October 16, 2017 from https://www.healthmanagement.com/what-we-do/healthcare-delivery-development-redesign/?gclid=EAIaIQobChMIqbWx0sv01gIVqbvtCh1PYwJOEAAYAiAAEgKFC_D_BwE.


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