CMS Pioneer ACO Model
The three year program, which began January 1, 2012, will identify whether improving care in a proactive and coordinated manner also reduces costs.
Previously, Medicare reimbursed physicians based on the number and complexity of the services provided to patients. There is good evidence that by anticipating patient needs, especially in those patients with chronic diseases, health care teams that partner with patients can intervene before expensive procedures and hospitalizations are required.
Dartmouth-Hitchcock will partner with our Medicare beneficiaries and their families to achieve the "triple aim" of improving the experience of care, improving quality, and reducing cost. We will utilize care coordination practices and programs by focusing on patient outreach and education, surrounding preventive care services, and regular follow up for targeted chronic disease programs. Our efforts will focus on Medicare beneficiaries with congestive heart failure, diabetes, coronary artery disease, hypertension, advanced pulmonary disease, and other high-cost or complex medical conditions.