Key Statements from the AOA regarding what optometrist need to know to seek continued access to medical patients under medicare and medicare advantage (ACOs).
- Medicare ACOs are not required to include optometrists or ophthalmologists.
- If you come across a closed panel serving Medicare patients, then you’re looking at a Medicare Advantage plan, the Medicare version of managed care organizations (MCOs).
- ACOs might not realize the benefits optometrists provide, so optometrists will need to market their services and demonstrate their value to ACOs.
- For Medicare, optometrists need to actively demonstrate value. This means participating in the Physician Quality Reporting System (PQRS), electronic prescribing, exchanging health information, implementing EHRs, exchanging health information with local optometrists, and tracking your results through clinical data registries.
- Here are some suggested steps for optometrists to take to prepare for ACO participation:
- Participate in PQRS.
- Meaningfully use EHRs.
- Use eRx.
- Plan to join AOA clinical data registry under development.
- Exchange health information with other practitioners <== For discussion at Boun Amici’s Wed June 15th
- Follow AOA Evidence-Based Clinical Guidelines.
- Use other AOA Excel Tools to grow and enhance your practice.