Reducing the Cost Burden of Diabetes:
The Potential Impact of the Accountable Care Organization
Provisions of the Patient Protection and Affordable Care Act
New York Medical College
School of Health Sciences and Practice
Capstone, Spring 2013
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In regards to President Obama’s Patient Protection and Affordable Care Act (Public Law 111-148, 2010) or ACA, the goal is to offer all Americans affordable health care, health insurance reform, improve patient resources and reduce hospital and operation cost.
The goal of this project is to ensure that Gotham Hospital continues to operate efficiently while meeting President Obama’s new ACA criteria and continue to provide quality care to its patient community. The team plans to offer several recommendations that will ensure Gotham is in compliance with ACA/ACO, as well as compare and analyze the effects of Pre and Post ACA hospital operations and elaborate on the hospital’s concern about how it can reduce the cost of chronic diseases particularly diabetes using its disease management program.
The project outcome is simple; to increase enrollment/utilization of the diabetes disease management and prevention at Gotham Hospital taking into account its diverse uninsured/underinsured population. The team will assess the current diabetes program at the hospital, offer recommendations and design a proactive program that will help increase utilization of diabetes care services at the Gotham Hospital.
Table of Contents
Executive Summary Page 2
Introduction Page 4-35
Methodology Page 35-55
Recommendation Page 55-70
Conclusion Page 70-72
References Page 72-82
Appendix Page 83-92