BJC Accountable Care Organization

 

An Accountable Care Organization (ACO) is a group of doctors and other health care providers who voluntarily work together with Medicare to provide:

High-quality service and care

At the right time

In the right setting

  • Sandra Van Trease, BJC group president and president, BJC ACO, speaks to patients about the benefit of this expanded focus, and the ability of the patient and physician to share data or have a conversation about care needs.

  • David Knocke, president, BJC Medical Group and chief administrative officer, BJC ACO, speaks to patients about how their ACO primary care physician will be responsible for the overall quality of their care, supported by hospitals and specialists.

  • Douglas Pogue, MD, internal medicine and medical director, BJC ACO, speaks to patients about the ACO emphasis on physician communication.

 

If your doctor participates in an Accountable Care Organization (ACO), he or she will work closely with other doctors and health care providers to coordinate care for those who have traditional Medicare. Important points to note about ACOs:

  • Your Medicare benefits remain the same
  • An ACO is not a Medicare Advantage plan or an HMO plan
  • If you have traditional Medicare, you still have the right to use any doctor or hospital who accepts Medicare, at any time
  • Your doctor or health care provider may continue to recommend that you see particular doctors for your specific health needs, but it's always your choice about what doctors you use or which hospitals you visit
  • An ACO may share in any savings that result from providing you with high-quality and more coordinated care

Here is how an ACO will help your doctor coordinate your care:

  • Your doctors will be part of a better coordinated team
  • You may not have to fill out as many medical forms that ask for the same information
  • Each of your doctors will know about your health issues that they have treated, and they will have a more complete picture of your entire health profile by talking with your other doctors

BJC’s Accountable Care Organization is focused on achieving improved patient-centered health outcomes and cost savings by improving care coordination and disease coordination for patients; expanding evidence-based care delivery models; and developing a structure that provides sharing of cost savings, if any, to ACO participants.

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and mid-Missouri regions. With net revenue of $3.6 billion, BJC serves urban, suburban and rural communities and includes 13 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC Accountable Care Organization | Suite 300 | 670 Mason Ridge Center Drive | St. Louis, Missouri 63141 USA | 314.996.7702

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Erik Rasmussen, program manager, Accountable Care, BJC Accountable Care Organization, 314.996.7702, fax 314.996.7720

If you have questions or concerns, visit the Medicare website or call toll-free 800.MEDICARE (for TTY call toll-free 877.486.2048)

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