IU Health Accountable Care Organization (ACO) Direct Contracting Model

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What is an ACO?

An Accountable Care Organization (ACO) is a group of doctors and other healthcare providers who agree to work together with Medicare to give you the best possible care. ACOs may take different approaches to giving you coordinated care.

Some ACOs may have special nurses that help you set up appointments or make sure your medications are in order when you enter or leave a hospital. Other ACOs may help your doctors get you equipment for monitoring your medical conditions better at home, if you need it. Most ACOs use advanced systems that let them more carefully track your care, and make sure your doctor has the most up-to-date information about your health.

The goal of the ACO is to support your doctor in caring for you. ACOs help your doctor and healthcare providers work together more closely, by making sure they have the most up-to-date information about your health and your care.

For you, this means your doctors communicate better with each other, and you avoid having duplicate tests or answering the same questions over and over. Working together, your doctors can do more to follow your health, make sure you get the best possible care, and may hire additional staff to help meet your unique care needs, depending on what works best for you.

Doctors and other healthcare providers choose to participate in an ACO because they’re committed to your care experience. They may also be rewarded for offering you better, more coordinated care. If your physician is part of the Indiana University Health ACO, you will be notified, either in person or by letter.

An ACO isn’t the same as a Medicare Advantage Plan or Health Maintenance Organization (HMO). You’re still in Original Medicare, and your Medicare benefits, services, rights and protections won’t change. And you still have the right to use any doctor or hospital that accepts Medicare at any time, the same way you do now. Additionally, patients can receive acute care treatment at urgent care facilities aligned with Indiana University Health ACO, Inc. Search for an IU Health Urgent Care location close to you.

Indiana University Health ACO is participating in the Professional Direct Contracting Model. The goal of the Model is to reduce program expenditures and improve quality of care and health outcomes for Medicare fee-for-services (FFS) beneficiaries through alignment of financial incentives and an emphasis on beneficiary choice and care delivery while maintaining access to care for beneficiaries.

Included in the Professional Direct Contracting Model are strong patient protections to ensure that patients have access to and receive high-quality care. This model will be evaluated on its ability to deliver better care for individuals, better health for populations, and lower growth in expenditures.

Professional Direct Contracting Model Details

Indiana University Health ACO is participating in the Professional Direct Contracting Model. The goal of the Model is to reduce program expenditures and improve quality of care and health outcomes for Medicare fee-for-services (FFS) beneficiaries through alignment of financial incentives and an emphasis on beneficiary choice and care delivery while maintaining access to care for beneficiaries.

Included in the Professional Direct Contracting Model are strong patient protections to ensure that patients have access to and receive high-quality care. This model will be evaluated on its ability to deliver better care for individuals, better health for populations, and lower growth in expenditures.

Indiana University Health ACO, Inc.

IU Health ACO: 317.963.5522 or iuhealthaco@iuhealth.org.

Centers for Medicare and Medicaid Services (CMS): 800.633.4227 (TTY 877.486.2048)

Indiana University Health ACO, Inc.,
340 West 10th Street, Indianapolis, IN 46202

Hours: Monday-Friday, 8am-5pm

Primary Contact: Tori Bratcher, Director of ACO & Population Health Operations
Contact Information:
iuhealthaco@iuhealth.org

Organizational Information

Indiana University Health ACO, Inc.’s Participant Entities

  • Arnett Clinic, LLC
  • Indiana University Health Arnett Hospital, Inc.
  • Indiana University Health White Memorial Hospital, Inc.
  • Indiana University Health Fort Wayne Physicians, LLC
  • Indiana University Health Bedford, Inc.
  • Indiana University Health Bloomington, Inc.
  • Indiana University Health Paoli, Inc.
  • Indiana University Health Southern Indiana Physicians, LLC
  • Indiana University Health North Hospital, Inc.
  • Indiana University Health West Hospital, Inc.
  • Indiana University Health Tipton Hospital, Inc.
  • Indiana University Health Ball Memorial Hospital, Inc.
  • Indiana University Health Ball Memorial Physicians, Inc.
  • Indiana University Health Blackford Hospital, Inc.
  • Indiana University Health, Inc.
  • Indiana University Health Care Associates, Inc.
  • Cardiothoracic Surgeons Inc.
  • Cardiothoracic Surgeons, Pediatrics LLC
  • Clarian Transplant Institute, Inc.
  • East Central Radiology, LLC
  • ICEM - Wishard LLC
  • Indiana Clinic-Critical Care, LLC
  • Indiana Clinic-Neurology, LLC
  • Indiana University Radiology Associates, Inc.
  • IU Anesthesiology Associates - Chronic Pain, LLC
  • IU Anesthesiology Associates - ICU, LLC
  • IU Anesthesiology Associates - Pediatrics, LLC
  • IU Anesthesiology Associates, LLC
  • Pediatric Surgical Associates, Inc.
  • University Dermatology, Inc.
  • University Family Physicians, Inc.
  • University Medical Diagnostic Associates, Inc.
  • University Obstetricians - Gynecologists, Inc.
  • University Orthopaedic Associates, Inc.
  • University Otolaryngology Associates, Inc.
  • University Pediatric Associates Inc.
  • University Radiation Oncology Associates, Inc.
  • University Surgeons, Inc.
  • University Urologists, PC
  • University Vascular Surgery, Inc.
  • Wishard Anesthesia Group, LLC

Indiana University Health ACO, Inc.’s Governing Body

  • Ron Stiver, Voting Member & Chair, Indiana University Health Inc.
  • Greg Kiray, M.D., Voting Member, Indiana University Health, Inc.
  • Jeff Bird, M.D., Voting Member, Indiana University Health Ball Memorial Physicians, Inc.
  • Stephanie Motter, Voting Member, Indiana University Health, Inc.
  • David Ingram, M.D., Voting Member, Indiana University Health, Inc.
  • Judy Coleman, Voting Member, IU Health Physicians
  • Jenni Alvey, Voting Member, Indiana University Health, Inc.
  • Johnnie Ayers, M.D., Voting Member, Beneficiary Representative, Indiana University Health Urgent Care Centers, LLC.
  • Judith Palmer, Voting Member, Consumer Advocate

Key Clinical and Administrative Leadership (all employed by Indiana University Health, Inc.)

  • Greg Kiray, M.D., Chief Executive Officer of IU Health ACO, Inc. & SVP of Population Health
  • Roxanne Binford, ACO Chief Compliance Officer
  • Mike Resener, General Counsel
  • Rick Bernhardt, M.D., Medical Director
  • Tori Bratcher, Director of ACO & Population Health Operations
  • Jerry Bradford, IU Health Plans and Population Health Chief Financial Officer
  • ACO Professionals in a group practice arrangement
  • Network of individual practices of ACO professionals
  • Partnership or joint venture arrangements between hospitals and ACO professionals
    • No such partnerships or joint ventures exist at this time
  • Hospital employing ACO professionals

Types of ACO participants, or combination of participants, that formed the ACO

  • ACO Professionals in a group practice arrangement
  • Network of individual practices of ACO professionals
  • Partnership or joint venture arrangements between hospitals and ACO professionals
    • No such partnerships or joint ventures exist at this time
  • Hospital employing ACO professionals

Indiana University Health ACO, Inc.'s Participants