The perception of accountable care organizations (ACOs) is steadily shifting among long-term care providers. Once viewed as entities intent on diverting Medicare fee for service (FFS) patients away from skilled nursing facilities (SNFs) and driving down lengths of stay, LTC owners and operators now see ACOs as a potential growth opportunity. A growing number of physician groups and “payviders” have developed LTC-focused ACO models, and they are actively courting operators to serve as partners. In this session, Fred Bentley, managing director with ATI Advisory, will highlight the strategic, financial and operational considerations for participating in a Medicare ACO and provide LTC providers with practical guidance for assessing their opportunities.
Learning Objectives:
Compare Medicare ACO models with risk-based options for long-term care providers (e.g., Institutional Special Needs Plans) and various group-led long-term care-focused ACOs.
Recall the economics of long-term care-focused ACOs and the hallmarks of financially successful long-term care-focused ACOs.
List essential questions used to address and evaluate long-term care-focused ACO opportunities.
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