Partnering with our patients to achieve exceptional health care outcomes.
RGV ACO Health Providers, LLC is comprised of various health care clinics in locations throughout Bexar, Comal, Cameron, and Hidalgo counties in Central and South Texas and Passaic County in New Jersey.
ACOs are a multifaceted new program sponsored by the Centers for Medicare and Medicaid Services (CMS). RGV ACO Health Providers, LLC, is a Medicare Shared Savings Program Accountable Care Organization (ACO). We are a group of doctors and other health care providers who work together to provide high quality service and care for our Medicare Fee-for-Service patients.
The existing health care delivery model, known as Fee-For-Service, pays physicians and hospitals a separate fee for every step in the treatment process – each exam, test, prescription, day in the hospital and so forth. It’s a system that rewards volume rather than value. Healthcare providers participating in an ACO have a financial incentive to contain costs and improve quality by coordinating care for patients.
The Shared Savings Program, and other initiatives related to Accountable Care Organizations, is made possible by the 2010 Affordable Care Act. Federal savings from this initiative could be up to $940 million over four years.
To ensure that savings are achieved through improving care coordination and providing care that is appropriate, safe, and timely, an ACO must meet quality standards. For 2012, CMS has established 33 quality measures relating to care coordination and patient safety, appropriate use of preventive health services, improved care for at-risk populations, and patient and caregiver experience of care.
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