Quote:
Originally Posted by golfing eagles
CMS then pays the MA intermediary. But also realize that TVH is an ACO, which means when you go to, let's say the dermatologist, their fee comes out of TVH's pocket. So maybe people can understand if TVH might be unhappy with any dermatology practice that charges them triple the going rate.
So, bottom line, I don't know, no one posting on TOTV knows,
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Thanks for the explanation. However, you mentioned a new term - ACO which is an Accountable Care Organization. I had never heard of that term until your post so I had to google it.
How does that affect payments from Medicare or UHC??