How Medicare Can Achieve Saving through ACA/ACO

How Medicare Can Achieve Saving through ACA/ACO

It is extrapolated that the enrollment of Medicare Patients into a particular ACO such as the ACO associated with Gotham will result in cost savings by Medicare. This savings will be achieved through improved services that will lead to efficient care. Some of the strategies that will lead to cost savings through the ACO include:

• Coordination of care: as highlighted earlier, it is anticipated that co-ordination of care amongst the various members of the ACO structure will lead to integrated care that will eliminate redundancies. Some of these redundancies manifest themselves as repetition of investigations already performed by a particular provider and lack of proper communication between providers in managing a particular patient. One of the ways various providers in a particular ACO unit will have access to patients’ information is the use of HIPPA-compliant HIT structure in which every patient has a particular Identifier Code that each members of the ACO could use to access the patients’ information. In the case of Gotham ACO unit, all members of the structure can remotely access patient’s data through the Bronx RHIO [define and discuss] which provides a centralized EMR digital access to all associated ACO’s. This provides savings to Medicare through both reduced administrative cost and reduced cost of redundant investigations.[this is the main point about ACOs. Discuss this more with supporting documentation]

GET HELP  HOW WOULD YOU INTRODUCE YOUR NEW EMPLOYEE TO THE CULTURE OF PHARMACY BUSINESS?

• Bundled Payment: again, as earlier highlighted, under the ACA/ACO, CMS has a contractual agreement for bundled pay per episode of care. Due to this mode of payment, the ACO will have to co-ordinate care across multiple spectrums of care settings from inpatient Physician services, hospital and clinics to post-acute and post admission care for insured patients. This will also involve preadmission preventive services that will discourage avoidable admissions. All members of the ACO unit have a common interest in ensuring that enrolled members do not develop any form of preventable disease. Thus, this method of payment introduces accountability across various spectrums of providers with common interest in saving cost since they all receive payment per episode of care rendered. This elimination of fragmented care as highlighted can potentially save money for Medicare by having a healthier population of enrolled patients. (NCSL, 2013)

GET HELP  This assignment is for SmartZena only Thank you Please address a 2 -2.5 page(s) discussion citing the references below including references page in APA format. Note: Please use only references that have been provided and if you must w/in the last 5 years relevant to topic. Please address it from an informatics nursing view. Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others. To further your self-knowledge, you are required to complete the Kiersey Temperament Sorter and the DiSC assessment, as indicated in this week’s Learning Resources. In addition, you are encouraged to take. As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues. Note: My leadership style is “Democratic Leader” who offers constructive feedback and once in while I can be a situational leadership but I still allow others to provide input. Also, my Kiersey Temperament is…is stated below ESTJ Guardians (SJ’s) are the cornerstone of society, for they are the temperament given to serving and preserving our most important social institutions. Guardians have natural talent in managing goods and services–from supervision to maintenance and supply — and they use all their skills to keep things running smoothly in their families, communities, schools, churches, hospitals, and businesses. Guardians can have a lot of fun with their friends, but they are quite serious about their duties and responsibilities. Guardians take pride in being dependable and trustworthy; if there’s a job to be done, they can be counted on to put their shoulder to the wheel. Guardians also believe in law and order, and sometimes worry that respect for authority, even a fundamental sense of right and wrong, is being lost. Perhaps this is why Guardians honor customs and traditions so strongly — they are familiar patterns that help bring stability to our modern, fast-paced world. Practical and down-to-earth, Guardians believe in following the rules and cooperating with others. They are not very comfortable winging it or blazing new trails; working steadily within the system is the Guardian way, for in the long run loyalty, discipline, and teamwork get the job done right. Guardians are meticulous about schedules and have a sharp eye for proper procedures. They are cautious about change, even though they know that change can be healthy for an institution. Better to go slowly, they say, and look before you leap. Guardians make up as much as 40 to 45 percent of the population, and a good thing, because they usually end up doing all the indispensable but thankless jobs everyone else takes for granted. On the job, you seem to innately understand how to create smooth, working processes in your environment. You can excel at directing others to fulfill their duties. In your ideal workplace, you and your colleagues would know what is expected of you and be predictably rewarded for meeting these expectations. To prepare: Review the results of your leadership style inventories. Save a copy of your results for future reference. In addition, you are encouraged to complete additional assessments. What aspects of your results surprised you? What aspects of your results were as you might have expected? Think about the leadership example(s) you identified in the Discussion, your assessment results, and the information presented in this week’s Learning Resources. Have they helped you to form a more comprehensive view of yourself as a leader? What insights have arisen with regard to: o How you, personally, evaluate leadership effectiveness o Your own leadership style, preferences, and strengths o Potential challenges or areas in which you need to strengthen your leadership skills and competencies Begin to create a plan for maximizing your strengths as a leader and neutralizing your weaknesses. To complete: Write a 2 -2.5-pages paper that addresses the following: Summarize your leadership style, including your strengths for leading others. Refer to specific information from your inventory results, as well as insights gained from the Learning Resources and any research you completed on your own. Describe potential challenges that you have experienced in the past or could foresee related to your leadership style. Explain how you plan to improve your leadership competencies and effectiveness. Be specific in terms of your goals and plans related to your personal leadership development. References Readings Azaare, J., & Gross, J. (2011). The nature of leadership style in nursing management. British Journal of Nursing, 20(11), 672–676, 678–680. The authors examine the different styles of leadership that nurse managers use and discusses how staff nurses in their study preferred managers who use a proactive, articulate, and independent leadership style. Christmas, K. (2009). 2009: The year of positive leadership. Nursing Economic$, 27(2), 128–133. In this article, the author discusses a shift in nurse management style. The former style of control and command has been replaced with a participatory style that includes mentoring and coaching. Kouzes, J. M., & Posner, B. Z. (2009). To lead, create a shared vision. Harvard Business Review, 87(1), 20–21. click here for more information on this paper This article Leadership Style Inventory Note: This assignment is for SmartZena only Thank you Please address a 2 -2.5 page(s) discussion citing the references below including references page in APA format. Note: Please use only references that have been provided and if you must w/in the last 5 years relevant to topic. Please address it from an informatics nursing view. Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others. To further your self-knowledge, you are required to complete the Kiersey

• Better reimbursement coordination: The ACO provides an overarching legal structure for CMS and other third- party insurers to co-ordinate reimbursement of providers. The ACO provides direct contraction by payers with providers without reliance on healthplan intermediaries such as Managed Care Plan. In this capacity, The ACO provides Medicare and Private Insurance companies with a vehicle for implementing comprehensive payment reform that can potentially save administrative cost through efficiency.[is this true?]

GET HELP  Principles of Public Health

All these factors put together can potentially control the cost of healthcare while also getting a better value for every dollar spent on healthcare (NCSL, 2013)

Solution:

15% off for this assignment.

Our Prices Start at $11.99. As Our First Client, Use Coupon Code GET15 to claim 15% Discount This Month!!

Why US?

100% Confidentiality

Information about customers is confidential and never disclosed to third parties.

Timely Delivery

No missed deadlines – 97% of assignments are completed in time.

Original Writing

We complete all papers from scratch. You can get a plagiarism report.

Money Back

If you are convinced that our writer has not followed your requirements, feel free to ask for a refund.