Physician Participation Requirements
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Board certification
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Eligible to receive Primary Care Incentive Program payments from CMS
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Electronic Medical Record (EMR must be eligible for incentive programs through the ONC)
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Patient-Centered Medical Home (PCMH) certification within 12 months of joining; ACO provides consultant to assist with application and preparation
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Commitment to the triple aim (improve experience of care, improve health of populations, lower per-capita cost of care)
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Willingness to comply with the clinical and administrative policies of the ACO
Benefits for Providers Participating in the ACO
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Be part of an evolving clinically-integrated healthcare delivery system
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Opportunity to participate in ACO committees and leadership – your ideas and effort will help shape the future of healthcare
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Develop and refine tools to facilitate high value care
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Care coordination –patient navigators and transition assistants to assist your patients in accessing the healthcare system
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Patient self-management and empowerment assistance and programs – increased patient satisfaction
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Population management IT system – will provide access to patient information from a variety of settings
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Shared savings - achieve success under performance-based reimbursement methodologies