It's how we weather the transition," said Andrea Dodge Patstone, vice president of strategic initiatives for MaineHealth.
"We don't think anyone is going to go out of business overnight, but we'll look different in a decade."
Currently, Medicare spends about $340 million a year to treat the roughly 35,000 patients in MaineHealth
Of that, about $240 million a year would typically flow into the MaineHealth
system, representing about 16 percent of the hospital group's net patient revenues, Patstone
Essentially, the ACO model is an experiment to try to save money and improve the quality of care.
The program shifts hospitals from getting paid on the number of beds they fill and services they provide to getting paid for the total care provided to the patient.
For example, a patient with diabetes might have trouble coordinating their medicine, following good nutritional guidelines or getting sufficient exercise.
The average hospitalization for a diabetic is about $9,600 per visit, and a diabetic may bounce in and out of the hospital three times in a year, Patstone