Medicare Shared Savings Program - Accountable Care Organizations

Austin Regional Clinic (ARC) is a participant in an Accountable Care Organization (ACO) through the Medicare Shared Savings Program (MSSP). This partnership enables ARC to work together with Medicare and many doctors, advanced practice clinicians (APCs), hospitals, and other health care providers to give coordinated care to our patients. The ACO team works together to meet your healthcare needs and can extend appropriate care at the right time and setting by collaborating to achieve the best level of care possible for you.

Only people enrolled in traditional Medicare can be assigned to an ACO, and your eligibility or benefits are not impacted or limited. In fact, you may have access to additional benefits, such as telehealth services and being able to obtain rehabilitation services or other skilled nursing care without a hospital stay. Please refer to the Skilled Nursing Facilities document for more information. Ask your healthcare provider if you may qualify for these benefits.

A Shared Savings Program means that the ACO can provide coordinated care for you to get well & stay well

• You get patient-centered care focused on YOUR needs.
• Your health care providers can see the same test results, treatments, and prescriptions.
• More coordination helps prevent medical errors and drug interactions.
• You may save time, money, and frustration by avoiding repeated tests and appointments.
• Better communication can help protect against Medicare fraud and waste.

You may have access to expanded benefits

• We may offer telehealth services, which let your primary care doctor or APC care for you without an in person visit.
• If you need rehabilitation services or other skilled nursing facility care, you may be able to get this care without a hospital stay.
• Ask your health care provider if you qualify for these benefits.

Get the most from your care with our communication & support

• Ask about signing up for Austin Regional Clinic’s secure online portal, ARC MyChart. You’ll get 24-hour access to your personal health information, including lab results and communication from your ARC health care provider.
• You can visit Medicare.gov and log in to (or create) your secure Medicare account to choose a primary care doctor or APC or confirm that your existing doctor or APC is a part of the ACO.

Your medical information will be protected

• Medicare protects the privacy and security of your health information.
• If you don’t want Medicare to share information with your health care providers for care coordination, call 1-800-MEDICARE (1-800-633-4227). Medicare may still share general information to measure provider quality. For more information on how Medicare may use and give out your information, visit Medicare.gov and search for “privacy.”

For more information

1. Visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
2. Write us your questions via a Customer Service message using your ARC MyChart account or at ARCcontact.com.
3. Call 512-272-4636 (512-ARC-INFO).

To report a Medicare-related concern or complaint, call 1-800-MEDICARE (1-800-633-4227).

To learn more about Accountable Care Organizations, visit Medicare.gov.

Medicare Shared Savings Program - Beneficiary Notice - (English & Spanish)

Seton Health Alliance - Medicare Shared Savings Program (English & Spanish)