Committed to making healthcare work better for everyone.
Our ultimate goal is helping doctors achieve the best possible results for patients. This includes services available through the Southwestern Health Resources (SWHR), including support designed specifically for Medicare beneficiaries.
One of the ways we are improving care for Medicare patients is through our Accountable Care Organization (ACO). We bring doctors, hospitals, and caregivers together, teams focused on coordinating high-quality care for patients. This helps ensure the right care is provided at the right time.
What exactly is an ACO?
Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other healthcare providers which come together voluntarily to help Medicare patients get the care that’s best suited for their individual need. This helps avoid unnecessary duplication of services, as well as prevents medical errors.
Get the care you need, whenever you need it.
To take advantage of our services, you’ll need a primary care physician participating in our network. If you already have a primary care physician (or need to find one), take a look at our website to see names of doctors that are designated as ACO Participating Physicians.
Remember, the ACO is not a health plan. It doesn’t require you to stay in a plan or change your Medicare coverage. You can visit any physician or hospital that accepts your Medicare coverage, whenever you choose.
Experts at keeping you healthy.
Want to know more about Southwestern Health Resources? Here’s how it works for you:
- You gain access to a team of healthcare experts to help streamline the best care.
- Primary care physicians (PCPs), specialists and hospitals work together to improve results for patients.
- Both you and your physicians benefit from extra support to better manage health conditions.
- Your current participating providers will be able to share information about your health to coordinate your care.
- Fewer repeated medical tests are required because your doctors and hospitals will share information and coordinate your care.
Frequently asked questions
No. If your affiliated physician is part of the Next Generation ACO, your benefits don’t change. An ACO is not a Medicare Advantage Plan (an HMO, PPO or another type of managed care plan). Your health coverage, premiums, and insurance arrangements are not affected.
No. You can use any doctor or hospital that you choose. You do not need to do anything or change your doctor. You can continue to see the same physicians that you normally see. You are free to choose any doctor or 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. However, it’s always your choice of what doctors, as well as hospitals, you choose.
Anyone with Original Medicare can participate. People with Medicare Supplement plans can also participate. Anyone with this type of coverage can contact an ACO directly, like the Southwestern Health Resources ACO, for information about services and participating.
Please contact your health plan regarding information about ACO participation.
No. There is not an additional cost to have care coordinated with providers through the ACO.
No. ACOs are held to high-quality standards, ensuring that savings are achieved through improved care coordination and care that is appropriate, safe, and timely. The Centers for Medicare and Medicaid Services (CMS) – the part of the U.S. Department of Health and Human Services that oversees ACOs -- evaluates the organizations on 33 quality measures relating to patient and caregiver experience of care, care coordination and patient safety, appropriate use of preventive health services, and improved care for at-risk populations.
ACOs share with Medicare any savings generated from lowering health care costs when they meet standards for high-quality care. Although cost savings are important, enhancing patient safety, efficiency and quality are compelling reasons for the success of an ACO.
Basics about Medicare health care coverage options
Find medical care.
Whether you’re looking for a primary care physician (PCP) or need to find a specialist, our network offers you access to quality care conveniently located throughout North Texas.