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Contact Information:

Carolina Medical Home Network Accountable Care Organization
4917 Waters Edge Dr., Suite 165
Raleigh, NC 27606-2459
(919) 469-5701 (office)
1-800-277-6092 (toll free)
(919) 469-1263 (fax)
www.cmhnaco.org

ACO Office Hours 8am -5pm, Monday – Friday

CMS Reporting on Carolina Medical Home Network Accountable Care Organization

For more information on how to interpret scores on the above quality performance measures, see http://www.cms.gov/Medicare/Medicare-Fee-For-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf.

 

What is an Accountable Care Organization?

An Accountable Care Organization (ACO) is a group of doctors and other healthcare providers who agree to work together with Medicare to give you the best possible care. ACOs may take different approaches to giving you coordinated care. Some ACOs may have special nurses that help you set up appointments or make sure your medications are in order when you enter or leave a hospital. Other ACOs may help your doctors get you equipment for monitoring your medical conditions better at home, if you need it. Most ACOs use advanced systems that let them more carefully coordinate your care, and make sure your doctor has the most up-to-date information about your health.

The goal of the ACO is to support your doctor 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, make sure you get the best possible care, and may hire additional staff to help meet your unique care needs, depending on what works best for you.

Doctors and other healthcare providers choose to participate in an ACO 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 an ACO, you will be notified, either in person or by letter.

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.

Where can I find more information about ACOs?

Many common questions about ACOs are answered in the Centers for Medicare and Medicaid Services (CMS) ACO Beneficiary Fact Sheet, Accountable Care Organizations and You: Frequently Asked Questions (FAQ) for People with Medicare.

For more information about ACOs, you can do the following:

Visit the Official U.S. Government Site for Medicare
Talk to your doctor
Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week. TTY users should call 1-877-486-2048 for questions or additional information about Accountable Care Organizations

 

GPRO

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Clinical Pathways

COPD

Stages of COPD & Spirometric Classifications

COPD Tracking Log

COPD Pathway Flowchart

COPD Medications

COPD Action Plan

Heart Failure

Stages, Phenotypes and Treatments of HF

Heart Failure Medications

Heart Failure Action Plan

CHF Clinical Pathway

CHF Pathway Flowchart

Clinical Resources

Standing Orders

Pneumococcal Vaccine Standing Order

Lab Standing Order

Flu Vaccine Standing Order

Policies and Practices

Policy Review & Revision Tracking Sheet Template

Off Site Staff Safety Precautions Policy

Home Visits Personal Safety Policy

Medicare Wellness Visits for FQHCs

Chronic Care Management Services

Best Practices – 2016 GPRO Measures Process

Best Practices – Medicare Wellness Visit Process

Generating eCW Patient List with COPD or CHF focus

Generating eCW Patient List for Non-Emergent & Avoidable with COPD or CHF focus

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