Accountable Care Organization
Oklahoma Health Initiatives has received Medicare approval to participate in Medicare's Shared Savings program. Accountable care organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients. According to Medicare, the goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO succeeds both in both delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.
St. John Health System's ACO, named SJFI LLC dba Oklahoma Health Initiatives (OKHI), was formed specifically for submission of an application to provide coordinated care to Medicare beneficiaries who are not enrolled through other Medicare shared savings (or other innovation) programs or Medicare Advantage plans. The OKHI model provides ACO participants with the motive and means for collaborating through shared electronic health records and a physician-driven committee governance structure to improve the care and reduce the cost trend for patients. While initially for Medicare beneficiaries, it is hoped that the program may be expanded in the future to other populations. The OKHI patient care model envisions a person-centered approach to health care emphasizing prevention and wellness, chronic disease management, and better care coordination across the full continuum of care with each Medicare beneficiary as an active participant in his or her care coordination. We seek to improve the health status of each patient in a manner that spends health care dollars wisely and effectively.
- To view the St. John ACO organizational chart and flow of responsibility, please click here.
- For general questions or additional information about ACOs, please visit https://www.cms.gov/medicare/medicare-fee-for-service-payment/aco/ or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.
- For the Medicare brochure on frequently asked questions about ACOs, please visit www.medicare.gov/Pubs/pdf/11588-Accountable-Care-Organizations-FAQs.pdf.
- Click here to view the ACO Reporting page.