4 min read

100% of Healthcare in ACO’s by 2030, what does that mean and why should we care?

By: Chris Comeaux on 12/20/23 7:00 AM

Healthcare Bob Tavares ACO's

In this podcast, Chris interviews Bob Tavares, Chief Commercial Officer with Health Pivots. The conversation covers various topics related to quality and performance in healthcare, including the importance of measuring quality, the role of culture in quality improvement, and the challenges of measuring quality in hospice and palliative care.

The discussion also explores the shift in healthcare to value-based care via payer mechanisms such as ACO's and Medicare Advantage and the potential for ACO's to focus more on end-of-life care. It emphasizes the need for data literacy and understanding the incentives of these new territories for healthcare. It addresses the question of what it means by the often repeated CMS statement that 100% of healthcare will be in ACO's by 2030. Here are some key takeaways:

Hospices can partner with ACO's to find additional savings within their total spend.
End-of-life care is challenging for ACO's, who evaluate how to get the most out of it.
Health pivots can be used for market analysis to understand ACO's in a specific area.
It is crucial for hospices to understand the customer, whether it's an ACO or a Medicare Advantage plan.
Data literacy is essential in the changing healthcare landscape, and organizations need to understand the incentives of new customers.
Tiered networks are becoming important in healthcare, with centers of excellence being preferred providers.
24/7 responsiveness is crucial for hospices to keep patients out of the hospital.
Primary care plays a significant role in ACO models and patient attribution.