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MercyOne Genesis Accountable Care Organization (ACO)

With over 300 physicians, The MercyOne Genesis ACO is transforming how health care is delivered. While maintaining their individual practices, our physicians are working together to provide a more unified approach to care delivery.

We focus on innovating care coordination, clinical integration and preventions that reduce cost and improve efficiencies and results for our population.

MercyOne Genesis offers this Accountable Care Organization to work directly with insurance carriers and employers, building our value-based care delivery model. The MercyOne Genesis ACO offers flexible solutions for a rapidly changing health-care marketplace.

Currently, our ACO is working together with the Medicare Shared Savings Program, United Healthcare, Wellmark, and Humana value-based program.

** The MercyOne Genesis Accountable Care Organization Public Reporting Document required by the Centers for Medicare & Medicaid Services, and by the Medicare Shared Savings Program can be found here.

What is an Accountable Care Organization (ACO)?

An ACO (Accountable Care Organization) is a group of physicians, hospitals and other providers who come together to coordinate and provide the best possible quality of care. Participating in the ACO does not change your benefits in any way.

Your doctor always focuses on providing a high quality of care, making sure he or she has the resources and information needed to coordinate your care with all of your caregivers.

Working together with your payor, many doctors, hospitals and other health care providers have decided to participate in Accountable Care Organizations (ACOs) to give better, more coordinated health care to patients like you.

Many doctors, hospitals and health care providers have decided to coordinate with other health care providers through an ACO. You will benefit because all will work together to get you the right care, at the right time, and in the right setting.

ACO Integrated Care Coordination

The MercyOne Genesis Accountable Care Organization recognizes that many patients struggle to manage their health, especially if they have chronic conditions such as diabetes, heart disease and chronic obstructive pulmonary disease. These patients often juggle frequent office visits, taking the right medications at the right times, and following medical advice from several doctors. Genesis ACO has developed resources and care coordination activities to engage patients dealing with chronic conditions, to encourage self-care management, and to empower patients to take charge of their health care. Our team of registered nurses, licensed clinical social workers, pharmacists, and certified medical assistants offer extra support for those that need help managing their health care needs.

  • You may notice that your doctor may have a non-physician team member help you with coordinating your care
  • You may receive calls from your doctor’s team asking about your health needs and helping you to arrange services, like transportation.
  • Your doctor and his/her team may talk with you about your care plan and your treatment options
  • You may get reminders to get needed tests or to schedule appointments
  • You may notice that all your physicians are talking with each other, so you don’t have to fill out so many forms repeat your information; and you should not have unnecessary duplicate tests or procedures.

Care Coordination includes six specific activities:

  1. Identify care coordination needs: Care coordination activities are based on your needs and treatment recommendations, which reflect physical, psychological, and social factors.
  2. Create a plan of care: We work with you and your care givers to identify personal goals, then build care plans to help you meet those goals.
  3. Communicate: We exchange information, preferences, goals, and experiences among participants in your care to ensure you are getting the highest quality, safest care among all your providers.
  4. Assist with care transitions: When you move from one place of care to another – from the hospital to a skilled nursing facility for example – we assist in sharing information and accountability for the care you receive.
  5. Connect with community resources: We provide and coordinate services with additional resources available in the community that may help support your health and wellness. Community resources are any service or program outside the health care system that my support your health and wellness. These include financial resources, social services, educational resources, support groups, and support programs.
  6. Identify population needs: At a system – level, the Genesis ACO assesses the needs of populations to identify and address gaps in services. We use feedback from providers and patients to identify opportunities for improvement.

Chronic Care Management Program

Patients in CCM must have at least 2 chronic health problems, which means that most patients with Medicare are eligible. These may include:

  • Coronary Artery Disease
  • COPD or Asthma
  • Chronic Kidney Disease
  • History of stroke
  • Congestive Heart Failure
  • Alzheimer’s Disease/Dementia
  • Depression
  • Diabetes
  • Cancer
  • Atrial Fibrillation
  • Hypertension
  • Rheumatoid Arthritis
  • Parkinson’s Disease
  • Other Chronic Problems

Enroll in our Chronic Care Management Program Today!
Talk to your MercyOne Genesis Primary Care Provider regarding a referral. You will be contacted by a Nurse Care Manager to answer any questions and enroll you in the program. You may cancel your participation at any time by letting your Nurse Care Manager know of your decision.

You may also call directly: 563-421-4530