For patients in a participating ACO, one of the initial improvements for facilities will be the assignment of a care manager to guide and support them through the ACO experience. The care manager may be a Triple Aim committed primary care physician or ACO professional who takes responsibility for coordinating care plans. A key component of the ACO / Triple Aim experience is the demonstration of improved outcomes for each patient and the ACO population as a whole.
Physicians and treatment centers receive little for disease prevention and much for heroic efforts to treat problems that are often preventable or at least have lower costs and better outcomes when seen and managed earlier in their development.
Our healthcare system has recently seen, and will continue to see, significant changes. There are particular implications for long-term care facilities but, overall, healthcare costs are increasing, the payment model is changing and new provider structures are developing.