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What You Need to Know About Being Part of an Accountable Care Organization


Starling Physicians is dedicated to delivering the highest quality care to our patients. One of the ways we are accomplishing this is by partnering with other healthcare providers through an Accountable Care Organization or ACO. This allows us to focus on providing you the best possible care in a coordinated and cost-effective manner.

Please read the information below to learn what this means for you and your care.

Medicare Shared Savings Program Accountable Care Organizations

Starling Physicians participating in QHI ACO, LLC, an Accountable Care Organization (ACO). An ACO is a group of doctors, hospitals, and/or other health care providers that work together to improve the quality and experience of care you receive. ACOs receive a portion of any savings that result from reducing costs and meeting quality requirements.

How do ACOs work?
What information will be shared about me?
How can I make the most of getting care from an ACO?

Ask your clinician if they have a secure online portal that gives you 24-hour access to your personal health information, including lab results and provider recommendations. This will help you make informed decisions about your health care, track your treatment, and monitor your health outcomes.

For step-by-step instructions on how to select or change your “main doctor,” refer to the Choosing a Primary Clinician video (https://youtu.be/HgRe4VCH2_I).

As a Medicare beneficiary, you can choose or change your primary clinician or “main doctor” at any time. Your primary clinician is the health care provider that you believe is responsible for coordinating your overall care. If you choose a primary clinician, that clinician may have more tools or services to help with your care. You can learn more in the Voluntary Alignment Beneficiary Fact Sheet.

What if I have concerns about being part of an ACO?

If you have concerns about the quality of care or other services you receive from your ACO or provider, you can contact your Medicare Beneficiary Ombudsman who can assist you with Medicare-related questions, concerns, and challenges. The Medicare Beneficiary Ombudsman works closely with the Medicare program, including Medicare.gov, 1-800-MEDICARE, and State Health Insurance Assistance Program (SHIPs), to help make sure information and assistance are available for you. Visit Medicare.gov for information on how the Medicare Beneficiary Ombudsman can help you.

If you suspect Medicare fraud or abuse from your ACO or any Medicare provider, we encourage you to make a report by contacting the HHS Office of Inspector General (1-800-HHS-TIPS) or your local Senior Medicare Patrol (SMP).