Frequently Asked Questions
What is the Jordan Community ACO?
What is an ACO?
The Jordan Community Accountable Care Organization (ACO) is a not-for-profit organization based in Plymouth, Massachusetts and founded in 2012. The Jordan Community ACO consists of more than 100 physicians from Plymouth Bay Medical Associates, Jordan Physician Associates, and a number of specialty physicians from Jordan Hospital. Together, the Jordan Community ACO physicians coordinate the healthcare of more than 6,000 Medicare Fee-for-Service beneficiaries in Plymouth. This approach ensures that patients receive high quality, appropriate care from the right provider at the right time by identifying and addressing problems early, before hospital care becomes necessary. Working with Medicare, the Jordan Community ACO provides its beneficiaries with high quality care while reducing growth in Medicare expenditures through enhanced care coordination.
An ACO (accountable care organization) is a group of doctors, hospitals and healthcare providers working together to provide high quality, cost efficient care. Your primary care physician has joined together with area specialists and Jordan Hospital to share responsibility for keeping you healthy. This coordinated approach will ensure you receive the best, most appropriate care from the right provider at the right time. There will be a focus on identifying and addressing problems early, before hospital care becomes necessary.
Can I still see my own doctors and hospitals?
Absolutely - if your doctor participates in an ACO, you can see any healthcare provider who accepts Medicare. Your doctor will help direct your care to ensure you receive the right care, from the right provider at the right time.
What should I expect if my doctor is in an ACO?
Over time, if you see a doctor participating in an ACO, you may notice that:
Some things will not change because your doctor is part of an ACO:
- You don’t have to fill out as many medical forms that ask for the same information;
- The health care providers, including your PCP, hospital, home health agencies, etc., that you see all know what is going on with your health because they communicate with each other;
- You don’t have to have the same medical tests done over and over because your results are shared among your health care team;
- The providers participating in the ACO will become partners with you in making care decisions.
Do I need to enroll in the ACO?
- What you pay, your Medicare benefits, or the cost of your coverage should not increase;
- Your right to choose any hospital or doctor that accepts Medicare, at any time, will not change even if that hospital or doctor is not part of an ACO.
No, you do not enroll to receive the enhanced benefits, such as improved coordination of care, offered by an ACO. Primary care providers and other healthcare providers make the decision to participate in ACOs. If your primary care physician has elected to participate in Jordan Community ACO, you will receive a letter notifying you of their participation. That letter will also provide additional contact information should you have further questions. Is this all about the money? No, though ACOs can reduce costs by improving quality and coordinating your care better. There is no question that improved care coordination and disease management will result in improved care that is also less costly. For example, if the ACO works with a heart failure patient to manage medications and recommends lifestyle changes that improve their condition, they can prevent serious complications that require expensive surgeries and long hospital stays. In an ACO, providers will be rewarded on their ability to provide preventive care and keep patients healthy. Our goal is to partner with you, the patient, to improve your health status and experience.
What about Jordan Hospital?
Jordan Hospital’s level of quality and service has improved dramatically over the past several years, with marked improvement this past year. The number of services offered has expanded with a new group of Obstetricians, and also Intensive Care, Lung Cancer, Prostate and Cardiac Specialists. Our community based Cancer Center and full time Cardiac Catheterization Lab provides outstanding care close to home. This helps keep jobs in our community while keeping the cost of care lower. Jordan Hospital’s cost to Medicare and the insurance plans is lower than any other area hospitals. So, quality, cost effective, local care helps everyone.
Will my medical information be shared?
To help you get quality coordinated care, Medicare will share medical information with your doctor’s ACO, including medical conditions, lab tests, prescriptions, and visits to the doctor. When your health care providers have access to your health information and are able to share that information with one another, they can give you better, more coordinated care. This is important to help the ACO keep up with your medical needs and track how well the ACO is doing to keep you healthy and helping you get the right care. Medicare will not share information related to the treatment of alcohol or substance abuse without your written permission.
What does it mean to decline to share my personal health information?
Your privacy is very important to us, so you may choose to have your name and other personal information removed from the information that Medicare shares with your doctor by by taking one of the steps below:
1) Contact Medicare directly at 1-800-633-4227. TTY users should call 1-877-486-2048
2) Contact your PCP’s office
3) Contact the Jordan Community ACO at 508-830-2859
How can I get more information?
The Jordan Community ACO will be hosting events in the community to ask for patients’ advice and input. In addition, we will also communicate on a periodic basis by sending educational material related to health, prevention and management of different diseases to your home. Informational material will also be available in your primary care physician’s office. Your care providers are always available to address any questions or concerns you may have. Or, please contact Mary Ann Doerr at 508-830-2859 or firstname.lastname@example.org.