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Understanding the Role of ACOs and HMOs in Coordinated Health Care

Accountable Care Organizations (ACOs) and Health Maintenance Organizations (HMOs) play vital roles in facilitating coordinated care for individuals. Patients choose to join an HMO and select from its network of providers. While both payment models encourage coordination of care, a key difference lies in the consumer's choice of provider; in an ACO, individuals often choose providers already within the organization, ensuring streamlined communication and comprehensive care. Understanding these distinctions helps patients make informed health care decisions.

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Understanding the Role of ACOs and HMOs in Coordinated Health Care

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  1. Accountable Care Org. Health Maintenance Org. Payment allows/encourages coordinated care Individuals choose to join HMO then choose among HMO’s providers Similarity: • Payment allows/encourages coordinated care Difference: • Individuals choose provider • Provider is already in an ACO.

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