Information for Medicare Fee-For-Service, also known as Original Medicare, beneficiaries whose doctor is participating in the Accountable Care Coalition of Chesapeake
This Medicare Next Generation Model Accountable Care Organization (ACO) has been established by the Centers for Medicare & Medicaid Services (CMS) to help healthcare providers coordinate their beneficiaries’ care more closely with each other and see that they get the right care at the right time.
Your Medicare benefits stay the same whether you use a physician participating in the Accountable Care Coalition of Chesapeake or not. That means there are no changes in cost or coverage. You are not being enrolled into a Medicare Advantage or Health Maintenance Organization (HMO) plan, and this does not change your Medicare Supplement coverage. You can still choose to see any doctor or go to any hospital that accepts Medicare at any time.
Your Primary Care Physician may continue to recommend that you see particular doctors for your specific health needs, but it's always your choice of what doctors you use or hospitals you visit.
Although your benefits stay the same, you may experience new rewards and enhancements to your care due to your physician’s participation in a Medicare Next Generation Model ACO.
For information on the Coordinated Care Reward, click here.
- 3-day Skilled Nursing Facility (SNF) Rule Waiver: Under current Medicare law, Medicare only covers care in a SNF if a patient has a prior three-day inpatient hospital stay. This new feature may allow beneficiaries to get Medicare covered SNF services at a participating SNF without a mandatory three-day inpatient hospital stay. For a list of participating SNFs, click here.
- Post-Discharge Home Visits: the Accountable Care Coalition of Chesapeake is expanding its post-discharge service to provide more comprehensive follow-up care at home after discharge from a hospital to help with the sometimes challenging transition between the hospital and home. For a list of participating physicians, please click here.
- Telehealth Expansion: Telehealth services allow beneficiaries to receive some health care services using real-time communication between the beneficiary and his/her primary care doctor or specialist. For a list of participating physicians, please click here.
You can learn more about these initiatives by visiting the following web page: http://innovation.cms.gov/initiatives/Next-Generation-ACO-Model