We understand that you most likely have a lot of questions about becoming a provider member of an accountable care organization, or ACO. Below are answers to many of the frequently asked questions that prospective provider members often have.
If you have a question that’s not answered below, please don’t hesitate to contact us today to learn more.
Will joining an ACO change the way I run my daily practice?
Most of your daily operations should stay exactly the same. The main difference is the shift from a focus on running completely independently to coordinating more with other physicians. This can mean working more closely with specialists, pediatric doctors or home healthcare teams. We’ll make sure you have the necessary resources to share healthcare records electronically and communicate well with other member providers at the network level.
What happens to my existing patients?
You won’t lose any patients when you join us. If your patients designate you as their primary care physician, you may take a more central role in coordinating their care with specialists or other healthcare providers. Since some patients need more than one caregiver for their needs to be met, you’ll have the ability to coordinate with other providers within Seton Health Alliance as a cohesive team to ensure that your patient always receives the right amount of care and attention.
Do I become an employee of SHA?
No. You can continue maintaining total autonomy just like before. However, our quality measurement standards help ensure that all members receive only the highest standard of care with a focus on patient health and value-based incentives.
Who’s in charge?
We are physician-governed. The work of Seton Health Alliance is overseen by an eight-member Board of Directors.
How will SHA benefit my practice financially?
The current healthcare system is based on a fee-for-service model. An ACO uses the idea of a new payment system that rewards doctors based on patient outcomes instead. In this way, proactive, high-quality healthcare is incentivized over high-volume healthcare. You can also minimize superfluous costs by gaining better control over duplicate or unnecessary tests and procedures.
What about Medicare patients?
The way Medicare pays individual providers will continue using the same Medicare fee-for-service payment system. However, you will receive financial incentives based on the quality of care your patients receive.