An Accountable Care Organizations (ACO) is a group of doctors, hospitals, and associated health care providers who have come together to provide high quality, coordinated care to the Medicare Fee-for-Service population they serve. Coordinated care helps ensure that Medicare Fee-for-Service patients, especially those who are chronically ill, will receive the right care at the right time, with the goal of reducing duplication of medical services and preventing medical errors.
There are 33 benchmarked care coordination measures that speak to prevalent issues for Medicare Fee-for-Service patients including diabetes, cancer screening, vaccinations, follow-up care and hospital re-admissions. CMS will be tracking those measures to ensure patients are receiving high quality care aligned with their medical conditions. These measures will be used to determine if the ACO is eligible for financial incentives.