Quality Health Ideas, Inc.

Supercharging value-based care delivery

What is QHI ACO, LLC ("QHI ACO")?

QHI ACO is a large, multi-state, Medicare Shared Savings Program Accountable Care Organizations ("MSSP-ACO"), with over 1,000 participating care providers, serving almost 50,000 Medicare beneficiaries from coast to coast.  

What is an Accountable Care Organization?

An ACO is an organization, which is led by health care providers, that works with Medicare to deliver high quality, value ased services to Medicare beneficiaries. An ACO is not a Medicare Advantage plan or an HMO. 

According to the Centers for Medicare and Medicaid Services ("CMS"), MSSP-ACOs were established by section 3022 of the Affordable Care Act. MSSP-ACOs are now a key component of the Medicare delivery system. Congress created MSSP-ACOs to facilitate coordination of care and cooperation among care providers to improve the quality of care for Medicare Fee-For-Service (FFS) beneficiaries and reduce unnecessary costs.

To fulfill the intent of the Affordable Care Act, MSSP-ACOs aim to improve beneficiary outcomes and increase the value of care by providing:

  • Better care for individuals;
  • Better health for populations; and
  • Lowering growth in expenditures

The Medicare Shared Savings Program will reward ACOs that lower their health care costs while meeting the highest performance standards for quality of care and putting beneficiaries first. Participation in MSSP-ACOs is purely voluntary.

Your opinion matters!

The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey lets providers and ACOs in the Medicare Shared Savings Program meet their requirements to measure patients' experiences related to their care.

Yearly CAHPS surveys for ACOs collect beneficiary experience data through survey mailings, and follow-up phone calls to those who do not respond to the mailings. This is done to measure the seven MSSP-ACO required beneficiary experience-of-care measures. CAHPS surveys ask beneficiaries about interpersonal aspects of health care delivery – aspects for which beneficiaries may be the best, if not the only source of information, and areas that patients have identified as being important to them.

QHI ACO Mission

The QHI-ACO mission is to provide the highest quality care for our beneficiaries in accordance with the guidelines set forth by CMS.  Our objective is to focus on each Medicare beneficiary’s individual needs through beneficiary centered and evidence-based practices.  We strive for better outcomes, better care experiences and higher satisfactions, coupled with lower cost.

QHI ACO History

QHI ACO includes physicians, and other healthcare providers in 3 states who have joined together and now work with Medicare as stated above.  QHI ACO leadership includes physicians with extensive experience in care coordination, quality and quality measures, patient experience, and population health management. These primary care providers and specialists are dedicated to sharing their experiences and insights to positively transforms the care for those we are privileged to serve.  The QHI ACO Board is dedicated to promoting the highest standards of care in a manner that ensures accountability on many levels.

 

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