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City Colleges of Chicago, Wilbur Wright College *

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260

Subject

Nursing

Date

Nov 24, 2024

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docx

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Uploaded by CountElectron2980

The debate around the Centers for Medicare & Medicaid Services (CMS) holding providers accountable for patient outcomes under the Medicare Shared Savings Program (MSSP) and Accountable Care Organizations (ACOs) touches on complex ethical and operational considerations. While providers significantly influence health outcomes through patient education and counseling, it's an oversimplification to hold them solely responsible. Patient autonomy and external socioeconomic, cultural, and environmental factors play critical roles in health behaviors, making it unfair to attribute patient outcomes entirely to provider actions. Promoting patient accountability is essential yet requires a supportive approach rather than punitive measures. Economic constraints, access issues, and lack of knowledge are significant barriers to adherence, necessitating strategies that empower patients through education and support. CMS could implement comprehensive education programs to inform patients about the importance of adherence and lifestyle choices, alongside incentive-based models that reward positive health behaviors. Support systems, like health coaching, can provide personalized assistance, helping overcome barriers to effective healthcare engagement. In conclusion, a balanced accountability framework within ACOs should recognize the shared responsibility between providers and patients. By fostering an environment where both parties are supported and incentivized to achieve better health outcomes, CMS can enhance the effectiveness and equity of the healthcare system. Strategies that emphasize education, support, and incentives for patients, while considering the broader determinants of health, are key to the success of MSSP and improving care quality within Medicare.

Reference: Centers for Medicare & Medicaid Services. (2023). Accountable Care Organizations (ACOs): General Information. CMS Strategic Plan | CMS

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