Riverview Health partnered with Franciscan Alliance to form Franciscan Riverview Health Accountable Care Organization (ACO). ACOs are groups of doctors, hospitals and other healthcare providers who come together voluntarily to provide high-quality, coordinated care to their Medicare patients.
As of January 1, 2015, Franciscan Riverview Health ACO is one of 405 ACOs selected by the Centers for Medicare and Medicaid Services to participate in a Medicare Shared Savings Program.
If you’re enrolled in Medicare and want to learn more about what participating in an ACO means for you, keep an eye on our list of classes and events for upcoming town hall informational sessions.
What is an Accountable Care Organization (ACO)?
Accountable Care Organizations (ACOs) are groups of doctors, hospitals and other healthcare providers who come together voluntarily to provide high-quality, coordinated care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.
How will this affect me as a Medicare patient?
Medicare patients who see Riverview Health partners participating in the ACO maintain all their Medicare rights, including the right to choose any doctors and providers who accept Medicare. Whether a provider chooses to participate in an ACO or not, their patients with Medicare may continue to see them.
As an ACO, our primary care physicians and specialists work together to ensure you’re getting the right care at the right time. Together, they coordinate all aspects of your care by actively sharing your health information with each other. This open line of communication between your healthcare team gives you access to more comprehensive care, while enabling us to cut your healthcare costs, avoid unnecessary duplication of services and prevent medical errors.
Why is Riverview Health participating in an ACO?
Franciscan Riverview Health ACO is one of 405 ACOs participating in the Shared Savings Program as of January 1, 2015. We believe the mission of ACOs to improve the quality of care while lowering costs to Medicare members aligns with the mission of Riverview Health.
Why is Riverview Health partnering with Franciscan Alliance?
Franciscan Riverview Health ACO is a 50/50 partnership between Riverview Health and Franciscan Alliance. Riverview Health brings a network of physicians and hospital services that serves a broad geographic marketplace in Hamilton and surrounding counties. Franciscan Alliance provides expertise in population health management and has participated in various Medicare ACO programs, including being an early ACO adopter in January 2012.
Is an ACO a Health Maintenance Organization (HMO), managed care or an insurance company?
No. An ACO is a group of doctors, hospitals and other healthcare providers who work together to provide better, more coordinated care. Doctors and hospitals in an ACO communicate with patients and each other to make sure patients get the care they need when they’re sick and the support they need to stay healthy and well.
Does becoming an ACO allow Riverview Health providers any additional rights to share patient health information or alter HIPAA in any way?
No. Patients’ health information is still fully protected and its security remains a top priority for Riverview Health. To help patients get the best coordinated care, Medicare will share certain information about their care with our ACO staff regarding their medical conditions, prescriptions and visits to the doctor. This is important to help the ACO keep up with patients’ medical needs and track how well the ACO is doing to keep patients healthy.
For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.