NUR 621 Topic 6 DQ 1

NUR 621 Topic 6 DQ 1

answer:

In an accountable care organization (ACO), insurance companies are looking at how health care organizations care for a specific population. Since the ACO model aligns incentives for patients, providers, and payers, it can lead to better quality outcomes while lowering cost per member per month.

In an accountable care organization, the insurance companies are looking at how health care organizations care for a specific population. This makes it easier for the insurance companies to plan for incoming patients and then assign each one to the proper provider so that their needs can be met efficiently. This has the potential to improve population health by giving patients better access to primary care, improving medication adherence and changing behaviors through education.

Insurance companies are looking at how health care organizations care for specific populations. As a result, the focus is on population health with preventive care as the primary measure.

Accountable care organizations focus on improving the health of the entire population, instead of focusing on treating individual patients in isolation from the rest of the community. Since ACOs work with the whole community, they are able to address some of the root causes of health problems, by creating partnerships with schools, businesses and other organizations, to help patients live healthier lives.

When you think about the impact of ACOs on the health of a population, it may be helpful to understand what care management is. Care management is an organized approach to coordinating and improving the quality of care for individuals with chronic conditions, severe mental illness or other complex needs. The goal of care management is to provide comprehensive care, ensuring that all members within a patient’s medical community are aware of any medical conditions, medications and procedures.

Insurance companies can use their influence to improve the health of their member populations. They can, for example, compare providers by their outcomes and costs and encourage the sharing of lessons learned among practices that care for members in their ACO network. They also can offer financial incentives for participating practices to adopt evidence-based preventive services and care management approaches to better address the needs of high-risk patients.

Health insurance companies are doing their best to keep up with health care costs. If a doctor knows they are being held accountable for the entire population they care for, they’ll take extra precautions to ensure that medication, treatment and advice is working well beforehand. In some ways, doctors will be able to spend more time with each patient, providing a better quality of care.

Insurance companies are more focused on quality of care. With the focus on care quality comes fewer health care resources to treat patients.

It’s a cost-effective way to keep people healthy. Where we can work with the same patient, in the same primary care group, for all of their care, it makes sense to look at a more holistic way to take care of that patient.

It has opened the door for physicians to provide more personalized care to their patients. For example, this moves away from a model where doctors or hospitals see as many patients as possible and instead emphasizes incentivizing quality of care over volume.

How do we (health care providers) make the case that following evidence based guidelines and best practices is the

ACOs are designed to reduce costs and improve the health of a given population. There is a strong evidence that they can deliver on the cost, but less certainty that they can deliver on the quality. This may be because the organizations have been measured over a short time period, or it could be because of the incentives built into their system.

question:

In an accountable care organization (ACO), insurance companies are looking at how health care organizations care for a specific population. How do you think this impacts the health of the population?

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