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Old 02-29-2020, 08:21 PM
 
17,590 posts, read 13,367,588 times
Reputation: 33036

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I received the following notice from my PCP. It sounds invasive and I think I should opt out

Does anyone know about this and should I ignore or opt out?

Thanks

Quote:
Medicare Shared Savings Program Accountable Care Organizations

Your provider is participating in Mercy Health Select, LLC, an Accountable Care Organization (ACO). An ACO is a group of doctors, hospitals, and/or other health care providers that work together to improve the quality and experience of care you receive. ACOs receive a portion of any savings that result from reducing costs and meeting quality requirements.
Medicare evaluates how well each ACO meets these goals every year. Those ACOs that do a good job can earn a financial bonus. ACOs that earn a bonus may use the payment to invest more in your care or share a portion directly with your providers. ACOs may owe a penalty if their care increases costs.

Your provider’s participation in Mercy Health Select, LLC doesn’t limit your choice of health care providers. Your Medicare benefits are not changing. You still have the right to visit any doctor, hospital, or other provider that accepts Medicare at any time, just like you do now.

To help us coordinate your health care better, Medicare shares information about your care with your providers. If you don’t want Medicare to share your health care information, call 1-800-MEDICARE (1-800-633-4227).

 
Old 03-01-2020, 09:53 AM
 
Location: Retired in VT; previously MD & NJ
14,267 posts, read 6,960,270 times
Reputation: 17878
Quote:
Originally Posted by mike1003 View Post
I received the following notice from my PCP. It sounds invasive and I think I should opt out

Does anyone know about this and should I ignore or opt out?

Thanks
I never heard of this. But if you are questioning that paragraph at the bottom, that is seems to be standard. It helps the doctor to know what other care you might be getting from other doctors, what meds other doctors have prescribed, and helps to prevent your doctor from ordering a duplicate test, for example.. I think that is a good thing.
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