I’m not opposed to ACOs, but I am uneasy. Like maybe, one out of three cheers.
I see the ACO project as really the centerpiece of the healthcare policy establishment’s program for the nation in terms of cost control and that primacy is undeserved.
One of the main purposes, and maybe the key purpose, of ACOs is to save money. That’s the aspect of ACOs this comment is directed to.
A few things about them make me queasy:
Limited evidence of significant savings, though granted some ACOs after many years of investment are getting weak to moderate results.
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EPO – Exclusive Provider Organization
A product offered by a health insurance company that, like an HMO, controls cost in part by generally restricting access only to healthcare providers who have contracts with the health insurance company (contracted providers are also referred to as in-network providers).
See Section 627.6472, F.S. for definitions of exclusive provider and exclusive provider provision.
FISO – Fiscal Intermediary Services Organization
A company that contracts with an HMO’s in-network providers and that collects payments on behalf of the providers from the HMOs.
HMO – Health Maintenance Organization
An MCO that provides comprehensive health coverage and that controls cost in part by generally restricting access only to healthcare providers who have contracts with the HMO.