course material

1. Executive Summary of ACO
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head: ACCOUNTABLE CARE ORGANIZATIONAccountable Care
OrganizationNameInstitutional AffiliationDate1ACCOUNTABLE CARE
ORGANIZATION2Description of the organizationThe organization chosen for this paper is
Optim health care. The organization is a systemthat offers Orthopedics, pain management,
Neurosensory, and primary care services to thepublic. The systems comprise of a physician-
owned medical center at Tattnall which offer sportsmedicine, and two Optim owned health
centers at Screven and Jenkins. The organization’s maingoal is to offer high-quality care in
hospital, clinical, diagnostics, surgical as well as therapyservices with great convenience,
efficiency and cooperating to ensure cost-effectiveness (OptimHealthcare, 2017).The types
of ACOs recognized by the Centers for Medicare and Medicaid Services.The Medicare shared
savings program handles the fees for service beneficiaries to reducethe costs as well as
make the providers have better coordination for quality improvement. Theadvanced
payment model is specifically aimed at the service providers in the rural areas toensure
they are providing high quality coordinated care to Medicare patients. Some of
theparticipants benefit from upfront payments to assist in the development of
coordinatinginfrastructure. It is important to note that the government has enforced several
reimbursementprograms and incentives in the Healthcare IT sector. One such of these
programs is theMeaningful Use Incentive Program for Medicare and Medicaid Electronic
Health Records(EHR) Programs. The program avails financial incentives to professionals
and healthcareinstitutions who prove eligibility by adopting and demonstrating the
‘meaningful use’ of EHRtechnologies through increased efficiency and quality of patient
care. It is a requirement forfacilities and professionals to adopt EHR systems that meet the
Medicare and Medicaid incentiveACCOUNTABLE CARE ORGANIZATION3requirements and
specifications for meaningful use to benefit from these incentives fully. Theimplementation
of the Meaningful Use program has had a significant impact on Revenue CycleManagement
(RCM) and the quality of service in the healthcare sector. Both Medicaid andMedicare needs
a substantial amount of fee during enrollment as well as the monthly pay, whichsometimes
is out of reach for the people with low income.Also, charges for uninsured patients are
usually higher, especially in private healthfacilities. Such people find it challenging to access
quality healthcare services. The role of thesocial security program is to benefit retired
individuals, the widowed spouses of deceasedworkers, children, and the disabled. Some

2. people usually evade paying the social security taxclaiming that after all, they will match
with the benefits immediately post-retirement. Theconsequence of such cases is an
increased financial burden to the government. The systemshould receive programming in
such a way that it gives a reason to make payments for socialsecurity mandatory. Medicaid
is a state an…