DVACO for Beneficiaries
Benefits of an ACO
ACO Overview and what it means for my care: An Accountable Care Organization (ACO) is a group of doctors, hospitals, and health care providers working together with Medicare to give you high quality, more coordinated service and care. By helping your doctors and primary care providers to communicate more closely with your other health care providers, ACOs can deliver high-quality, more coordinated care that meets your individual needs and preferences. ACOs may share in the savings it achieves for the Medicare program when it succeeds in delivering high-quality care and spending health care dollars more wisely. An ACO isn’t the same as a Medicare Advantage Plan or Health Maintenance Organization (HMO). You’re still in Original Medicare, and your Medicare benefits, services, rights and protections won’t change. And you still have the right to use any doctor or hospital that accepts Medicare at any time, the same way you do now.
How does Delaware Valley ACO (DVACO) impact my care specifically? The goal of DVACO is to support your Primary Care Physician (PCP) in caring for you by making sure they have the most up-to-date information about your health and your care. For you, this means your doctors communicate better with each other, and you avoid having duplicate tests or answering the same questions over and over. Working together, your doctors can do more to follow your health and understand what works best for you. Your doctors and other healthcare providers choose to participate in DVACO because they’re committed to providing you with a better care experience. They may also be rewarded for offering you better, more coordinated care. If your doctor chooses to participate in DVACO you will be notified either in person or by letter.
The Affordable Care Act (ACA) improves the health care delivery system through incentives to enhance quality, improve beneficiary outcomes and increase value of care. One of these key delivery system reforms is the encouragement of Accountable Care Organizations (ACOs). ACOs facilitate coordination and cooperation among providers to improve the quality of care for Medicare beneficiaries and reduce unnecessary costs. This section of FAQs provides an overview of ACOs and the Medicare Shared Savings Program (MSSP).