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Accountable Care Organizations


To help Accountable Care Organizations (ACOs) better serve patients who may be candidates for hospice care, VITAS offers ACO participants a suite of resources that improve care quality, enhance the patient experience and reduce costs.

VITAS helps our ACO partners identify and manage advanced illness, smoothly transitioning patients to the appropriate non-acute setting.

Want to partner with VITAS? Call 800.873.5198 | Request info online >

How VITAS Can Help Your ACO Achieve its Goals

In addition to offering personalized care plans that improve patients' quality of life, resulting in higher CAHPS scores, VITAS provides:

  • Multi-specialty coordination of care under the direction of a nurse navigator for patients with complex symptoms
  • Coordination of interdisciplinary teams in the home, nursing home or assisted living community
  • Medication reviews to minimize unnecessary/unintentional polypharmacy
  • Patient/family education regarding difficult choices in areas like medication, disease progression and managing decline
  • Expanded psychosocial resources
  • Collaboration with patients’ physicians to develop individualized symptom management
  • Predictive modeling and risk-stratification of patients with advanced illness
  • Improved scores in several of CMS’s quality measures

Having VITAS as the preferred hospice and palliative care partner is critical to the success of any ACO. Through VITAS’ value-based care protocols, transition processes and ancillary resources, hospice and palliative care patients receive individualized care and attention. Timely hospice and palliative care can eliminate unnecessary admissions and increase patient satisfaction.

Healthcare Reform Requires Collaborative Care

In tandem with the Institute for Healthcare Improvement's triple aim initiative, ACOs are feeling pressure to improve the patient experience and the health of their patient populations as well as reduce the per-capita cost of healthcare. Right now:

  • Nearly 50 percent of U.S. healthcare expenditures go to the “at risk” 5 percent of the population1
  • Chronic diseases are responsible for 7 of 10 deaths each year, and treating people with chronic diseases accounts for 86% of our nation's healthcare costs2
  • In a national study, 15%, or about one in every seven, emergency department visits were made by a patient who died in the six months after that visit3

How VITAS Helps Break the Cycle

On average, one in five elderly patients discharged from the hospital is re-hospitalized within 30 days4. A referral of hospice-eligible patients to VITAS and the time and attention of our individualized plan of care help break that cycle.

How VITAS breaks the current care cycle - VITAS helps ACOs

VITAS reduces readmissions and streamlines care coordination, while providing alternatives for care. We offer patients:

  • Hospice care at home, whether they live in a house, nursing home, assisted living community, or another residence for the elderly
  • 24/7 support with Telecare
  • All levels of care—home, Intensive Comfort Care®, and inpatient care—customized to meet individual care management needs
  • Comprehensive education programs for patients and families
  • Specialized care including multilingual staff, Jewish accreditation, veterans care, music therapy, pet visits, and illness-specific care plans

Want to partner with VITAS? Call 800.873.5198 | Request info online >

1Cohen, SB, “The Concentration of Health Care Expenditures and Related Expenses for Costly Medical Conditions, 2012.” Medical Expenditure Panel Survey, Agency for Healthcare Research & Quality, 2014.

2The Dartmouth Atlas of Healthcare,

3Smith A et. al. “Half Of Older Americans Seen In Emergency Department In Last Month Of Life; Most Admitted To Hospital, And Many Die There.” Health Affairs 2012; 6:1277-1285.

4Jencks, SB. “Rehospitalizations among Patients in the Medicare Fee-for-Service Program.” The New England Journal of Medicine. 360:1418-1428 April 2, 2011.