Ochsner Accountable Care Network (OACN) is focused on improved health, high quality, lower cost increases and greater coordination of care for our Medicare Fee-for-Service beneficiaries. Our ACO is participating in the Medicare Shared Savings Program to improve care coordination of our Medicare Fee-for-Service Beneficiaries. Read the information below along with the frequently asked questions (prepared by Medicare) at the link below to learn more about OACN and what it will do for you as a Medicare Fee-for-Service beneficiary.
What’s a Medicare Shared Savings Accountable Care Organization?
ACOs are groups of doctors and other healthcare providers who voluntarily work together with Medicare to give you high quality service and care at the right time, in the right setting. Our doctors have agreed to participate in a Medicare Shared Savings ACO and to work closely with other doctors and healthcare providers to coordinate care that meets the unique individual needs and preferences of Medicare Fee-for-Service beneficiaries, like yourself, who have traditional Medicare. The ACO may share in any savings that result from providing you with high quality and more coordinated care.
Does an ACO Change My Medicare Benefits?
ACOs do not change your benefits. An ACO is not a Medicare Advantage plan or an HMO plan. If you have traditional Medicare, you still have the right to use any doctor or hospital who accepts Medicare, at any time. Ochsner Clinic may continue to recommend that you see particular doctors for your specific health needs, but it’s always your choice about what doctors you use or the hospitals you visit.
How will an ACO Help My Doctor Coordinate My Care?
Ochsner physicians and hospitals are a part of a coordinated team. Our number one focus as healthcare providers is to focus on keeping you healthy – meaning that illness prevention, chronic care coordination, and overall wellness is our top priority. We’ll be working together as providers to assure that each of us are delivering safe, high quality care to our Medicare Fee-for-Service patients. You may not have to fill out as many medical forms that ask for the same information and each of your doctors will not only know about the health issues they have treated, they will have a more complete picture of your health through talking with your other doctors. Our providers coordinate their efforts with one another, meaning that you won’t be subjected to unnecessary, repetitive tests and procedures. We’ll also be improving how we communicate with each other and how we use patient health data to make more informed decisions about your care.
Because we’re focusing on improved coordination with each other as providers, and in keeping our patients as healthy as possible, we will provide the right care, at the right time, in the right place to each of our Medicare Fee-for-Service patients. This will help us lower the rate of growth in healthcare costs.
You Control Your Personal Information
To help us give you the right care in the right place at the right time, Medicare plans to start sharing certain health information with us about your care. This information will include things like visits to the doctor or hospital, medical conditions, and prescriptions you’ve had in the past and moving forward. Having this information will help us give you high-quality care, because we’ll have the most up-to-date information about your health.
Your privacy is very important to us and you control the use of your personal health information. Like Medicare, we have important safeguards in place to make sure all your medical information is safe. Please note that even if you do not want to share the personal health information that Medicare has with the Ochsner Accountable Care Network (OACN) for use in coordinating your care, Medicare will still need to use your information for some purposes, including certain financial calculations and determining the quality of care provided by Ochsner Clinic and the OACN. Also, as part of assessing the quality of care Ochsner Clinic and the OACN are providing, Medicare may share some of your personal health information with the OACN.
ACOs are required to respect your privacy so you have the option to tell us not to share your health care information. You must call 1-800-MEDICARE (1-800-633-4227) to tell Medicare not to share information about your care with your doctor’s ACO or any other ACO. TTY users should call 1-877-486-2048. Unless you take this step, your medical information will be shared with your doctor’s ACO for purposes of care coordination and quality improvement.
Who Can I Contact For More Information?
If you have questions or concerns, you can call Ochsner on Call at 1-800-231-5257, submit your question online, or bring it up next time you’re in your doctor’s office. You can also visit www.medicare.gov/acos.html or call 1-800-MEDICARE and tell the operator you are asking about ACOs (TTY users should call 1-877-486-2048).
Watch the following video produced by the Centers for Medicare and Medicaid Services (CMS). Please note that Ochsner Accountable Care Network is not part of the Pioneer ACO Model, it is part of the Medicare Shared Savings Program. This video is being shared for reference only.