The first generation of ACOs focused on the fundamentals of caring for large patient populations. Medicare and private insurers focused on chronic care management. Medicaid focused on primary care. Larger employers focused on chronic care and preventative health.
As ACOs evolve, the scope of focus will broaden to include:
• Bundled payments for high-cost acute events and post-acute coordination for Medicare.
• Expanded primary care, such as dental and mental health, and dual eligibles case management for Medicaid.
• Complex chronic care and bundled payments for private insurers.
• Bundled payments and narrower networks for larger employers.
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