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Accountable Care Organization (ACO)

A group of healthcare providers that come together to provide the full range of healthcare services for patients. The provider organization is responsible for the quality and price of the care and receives payment for all care that is provided to patients. Organizations are given financial incentives, such as allocated savings attained from these efforts, in order to promote the improvement the quality and price through the Medicare program.

Explanation of Benefits

A statement sent to the covered individual from the health insurance company that explains the benefits they are receiving from their plan.