Medicare beneficiaries’ benefits are not changing, and they will still receive benefits through the Original Medicare program. This is not a Medicare Advantage plan or an HMO plan. Beneficiaries still have the right to use any doctor or hospital who accepts Medicare, at any time. We may continue to recommend that beneficiaries see particular doctors for their specific health needs, but it is always the beneficiary’s choice about which doctors they use or hospitals they visit.
As the goals of the Medicare Shared Savings Program are consistent with our goals, Southeastern Integrated Medical (SIMED) created an ACO, which has been accepted by Medicare to be part of the ACO Shared Savings Program. Our ACO is named the Integrated Care Alliance (ICA). Partners in the ICA are James McCauley, MD, PA, an outpatient primary care practice, and the Advanced Hospitalists Group (AHG) who provide inpatient hospital care at local hospitals. The ICA providers also extend their care coverage into specialty hospitals, skilled nursing facilities and long-term care facilities.