Question

Discuss the differences and similarities between Managed Care Organizations (MCOs) vs. Accountable Care Organizations (ACOs). Given the current health care environment, provide a solid speculation to how MCOs and ACOs may transform to meet the needs of its consumers. Be sure to support your thoughts and analysis with scholarly sources.

Answer 1

Similarities between managed care organization(mco) and Accountable care organization(Aco):

1,Accountable care organization always improve health care quality and control rising costs.. Managed care is also manage cost,utilization and quality of care...2,ACOs and MCOs responsible to avoid duplication of service.3, Both are medicare shared savings program..4, .ACOs and MCOs basically move towards more integrated care..5,ACOs and MCOs has same medicare capitation payments.. ACOs and MCOs will give amount of money based on the number of Medicaid recipient within it's network..6, both will increase the provider organization..

Difference between ACOs and MCOs:

1, Medicaid ACO implementing the managed care infrastructure center for healthcare strategies helping through medicaid agencies to implementing ACO within managed care environment..2, house plan for Medicaid reform involves accountable care organization..3,MCOs providing health care from doctors and hospitals what we choose..4,ACOs provides beneficiary as per patient's base treatment history..5,ACOs wil decide what share of the population based payments each providers should receive. 6, insurer in effect provide information what health care provider is allowed to do.many traditional MCOs will find themselves contracting with ACOs for service..

Meeting consumer needs:

__Public and private payers will incorporate consumer engagement more effectively in order to keep quality of care sufficient by reducing unnecessary health care services and spending..

__partcipation of stakeholders committee or governing bodies not sufficient to advance consumer engagement on a more high level..cconsumer engagement may differ from states to States..

__ACOs suggest policy makers to create a better support system by funding and training to boost consumer participation in policy decisions..

__ACOs engaging effectively for consumer needs..health plans improve their ability to communicate with the member to increase satisfaction and improve the coverage..

__payers would benefits by improving consumer engagement and communication channels..

__ACOs run by public and private payers by fulfilling their protocol and sufficient consumer engagement strategies to provide quality of medical services and consumer support..

__MCOs providing long term support and services for consumer in Medicaid with their chronic illness and disabilities

__it reducing fragmentation of care,providing community based service and increase the quality and efficiency of services.

__through federal guidance and other stakeholders on states best practices serving people who are aged and disabled..

__MCOs allows consumers to switch among plans at any time.andbprovide independent help for the switch..it also provide all needed service for ADA and supreme court decision requiring service to be delivered in the few restrictive setting possible.

__it provides all necessary health and LTSS including peer and recovery services.