What We Do2024-06-24T14:11:50+00:00

Our Goals

The goals of AICNY are to improve medical services to attributed beneficiaries through coordination and access to services that will reduce the overall cost of care while achieving high standards of quality.

What This Means To You

This Medicare Shared Savings Program Accountable Care Organization (ACO) has been established by the Centers for Medicare & Medicaid Services (CMS) to help your healthcare providers coordinate more closely with each other and see that you get the right care at the right time.

Your Medicare benefits stay exactly the same whether you use a physician participating in the ACO or not. That means there are no changes in cost or coverage. You are not being enrolled into a Medicare Advantage or Health Maintenance Organization (HMO) plan, and this does not change your Medicare Supplement coverage. You can still choose to see any doctor or go to any hospital that accepts Medicare at any time.

Your Primary Care Physician may continue to recommend that you see particular doctors for your specific health needs, but it’s always your choice of what doctors you use or hospitals you visit.

Compliance Hotline
Anonymous & Toll-free

Phone: (855) 252-7606

Frequently Asked Questions

Where you can find more information about ACOs2021-05-13T14:56:21+00:00

For more information about ACOs:

  • Visit CMS.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/.
  • VisitMedicare.gov/manage-your-health/coordinating-your-care/ accountable-care-organizations.html.
  • Talk to your doctor.
  • Call 1-800-MEDICARE.
Your medical information will be protected2021-05-13T14:56:29+00:00

Federal law protects the privacy and security of your medical information. The group of doctors, hospitals, and other health care providers in the ACO working together on your behalf will be able to read your medical records, along with other office staff authorized to help coordinate your care. Each of your health care providers won’t only know about the health issues that they’ve treated, they’ll have a more complete picture of your health by sharing information with your other health care providers.

Contact your doctor’s office for more information about how they protect your medical information, or call 1-800-MEDICARE to learn more about how Medicare protects your medical information.

Know your rights if your doctor is in an ACO2021-05-13T14:56:38+00:00

You’ll continue to have the same rights all people with Medicare get. To help you to get the best-coordinated and highest quality care, Medicare will share certain information about your medical care with your doctor’s ACO, including medical conditions, prescriptions, and visits to the doctor unless you have called 1-800-MEDICARE to tell Medicare not to share your health care information with your doctor’s ACO or other ACOs. This information is important to help the ACO keep up with your medical needs and track how well the ACO is doing to keep you healthy.

Also, you may get a follow-up survey to ask about your experiences as a patient of a doctor who’s participating in an ACO. You’ll get a letter to let you know the survey is genuine. The ACO will use your feedback to help make sure you get high quality care.
ACOs are required to respect your privacy so you have the option
to tell us not to share your health care information. You must call 1-800-MEDICARE (1-800-633-4227) to tell Medicare not to share information about your care with your doctor’s ACO or any other ACO. TTY users should call 1-877-486-2048. Unless you take this step, your medical information will be shared with your doctor’s ACO for purposes of care coordination and quality improvement.

What to expect if your doctor is in an ACO2021-05-13T14:56:45+00:00

When your health care providers participate in an ACO, you should see better, more coordinated care over time. With an ACO, you’re the center of care, and your satisfaction is one of the goals. Over time, you may notice that:

  • You don’t have to fill out as many medical forms that ask for the same information.
  • The health care providers that you see all know what’s going on with your health because they communicate with each other.
  • You don’t need to repeat medical tests because your results are shared among your health care team.
  • The providers participating in the ACO will work with you to make sure their health care decisions reflect your preferences.
How to know if your doctor participates in an ACO2021-05-13T14:56:52+00:00

Doctors or health care providers who choose to participate in an ACO must display a poster that notifies you of your doctor’s participation in an ACO. It also informs you of your option to decline sharing your health care information by calling 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

If you aren’t sure if your doctor or health care provider is participating in a Medicare ACO, ask him or her during your visit. For general information about ACOs, call 1-800-MEDICARE.

An ACO is NOT a Health Maintenance Organization (HMO), managed care, or an insurance company2021-05-13T14:57:03+00:00

An ACO is a group of doctors, hospitals, and other health care providers who communicate with you and with each other to make sure you get the care you need when you’re sick and the support you need to get and stay healthy. Unlike HMOs, managed care, and some insurance plans, an ACO can’t tell you which health care providers to see or hospital to visit, and can’t limit your Medicare benefits. Also, only people with Original Medicare can be assigned to an ACO. You can’t be assigned to an ACO

if you have a Medicare Advantage Plan (like an HMO or a Preferred Provider Organization).

You can still choose any doctor2021-05-13T14:57:09+00:00

Your Medicare benefits won’t be limited because your doctor is part of
an ACO. You still have the right to choose any hospital or doctor that accepts Medicare, at any time, even if that hospital or doctor isn’t a part of an ACO. Your doctor may make recommendations, but it’s always your choice on what doctors or hospitals you use.

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