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Abacus

What rights do I have if my doctor is in an ACO?

You’ll continue to get the same rights all people with Medicare get. To help you to get the best coordinated and highest quality care, Medicare will share certain information about your medical care with your doctor’s ACO, including medical conditions, prescriptions and visits to the doctor.

This is important to help the ACO keep up with your medical needs and track how well the ACO is doing in keeping you healthy and helping you get the right care. Your privacy is very important to us. You can tell Medicare not to give your doctor’s ACO information that your doctor needs to coordinate your care by calling 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

Unless you take this step, your medical information will be shared automatically with your doctor’s ACO for purposes of care coordination and quality improvement. If you’re now getting or received treatment in the past for alcohol or drug abuse, Medicare won’t share any information about that treatment with any ACO unless you give Medicare your written permission to do so.

Also, you may get a follow-up survey to ask about your experiences as a patient of a doctor who’s participating in a Medicare ACO. You’ll get a letter to let you know the survey is genuine. The ACO will use your feedback to help make sure you get high quality care.