self-funded employersaccountable care organizationspatient's bill of rights

1. How do I know if my particular organization wouldbenefit from an eACO?

research increasingly shows

2. What should be our criteria when determining providercapabilities?

• An infrastructure in place to manage population health guidedby value-based care principles;
• Unit costs that are more favorable than traditional carriernetwork rates for broad PPO networks; and
• Compensation models that reward providers for coordinated care,cost management, and reducing waste.

3. Should we contract with ACOs directly?

4. How do we ensure our employees understand thearrangement and take advantage of it?

• Help ensure that your employees understand the eACO on anongoing basis—which providers are in that eACO network, how thecosts compare to other options, and their choices if they can'thave a specific care need met by the eACO.
• Drive employees to the eACO when they're seeking care, listingthe eACO first in any search results, and helping them coursecorrect when they aren't using the eACO. For example, flagging theeACO if they're making an appointment with an out-of-networkprovider, or pointing out an eACO would have been a more costeffective option on a post-appointment EOB.
• Make it as easy as possible for employees to access the eACO,from making appointments to paying for services.

5. Are there standards for reporting from ACOs so we candetermine effectiveness?

• Establishment of population-based clinical targets, such asreductions in admission and closing gaps in care;
• Service and care coordination standards that ensure ease ofnavigation and access;
• Member engagement in care management; and
• Member satisfaction, which can be assessed through a NetPromoter Score (NPS), a standard measure of satisfaction that looksat how likely employees are to recommend their respectiveeACO.

Eric currently serves as National Leader of Value-Based Care at Collective Health. He is a 30 yearveteran of the healthcare industry as an executive and consultant.As a Principal at Willis Towers Watson, Ericdeveloped and grew the national Hospital Industry focus. He's apassionate advocate for change in our healthcare system, and hiswork has been featured in Reuters, Fox News, Inc Magazine andmore.