Integrated Care Alliance - What we do
Section 3022 of the Patient Protection and Accountable Care Act of 2010 created a Shared Savings Program aimed at rewarding physicians who treat Medicare Beneficiaries in ways that improve their patients’ care and experience, improve the overall health of the population of patients, and decrease the cost of care over time while providing a higher level of quality care.  This will be accomplished through the development of Accountable Care Organizations (ACOs). 

An ACO is a group of doctors and other health care providers working together with Medicare to give beneficiaries enhanced service and care.  The goal of an ACO is for doctors to communicate closely with other health care providers to deliver high-quality care and meet patient’s unique individual needs and preferences.  ACOs may be rewarded for providing patients high-quality, more coordinated care.

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. 

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