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Reimbursement and Practice Management

ACO Opportunities and Challenges

Specialists will be essential to the primary care, hospital-based care, ancillary services and home care that the PCP coordinates in the patient-centric ACO model. So what are some of the opportunities and challenges?

Today’s opportunity: Prepare for data requirements and coordinated engagement with multiple providers. Today’s challenge: Make decisions regarding strategic alignment, understand risk, and identify which ACOs to join in the marketplace (specialists can join more than one ACO).

As you face the ACO “new world,” some resources to consider include medical specialty societies, professional medical practice management societies (especially state and local chapters) and state medical societies. These groups are aligned with your interests and can help navigate the resources required to participate successfully in the new era of integrated care delivery systems.

United States