Welcome to The Lancaster General Health
Community Care Collaborative (Lancaster General Health CCC)
Lancaster General Hospital
Lancaster General Medical Group (Lancaster General Health Physicians)
Lancaster General Health Columbia (Family Medicine Twin Rose)
The Heart Group of LG Health
What is an Accountable Care Organization (ACO)?
An Accountable Care Organization is a group of doctors, hospitals and other health care providers who agree to work together to give you improved health services and care. The ACO supports your doctor by making sure they have the most up-to-date information about your health care and services. In addition, the ACO can provide your doctor increased access to the expertise, staff, and technology needed to make sure your care is coordinated across all the places you get services. This is important to help you get the right care at the right time and to keep you healthy.
How will you know if your doctor has elected to participate in an ACO?
If you received a letter in the mail informing you of our new ACO, it is because your doctor or health care provider has elected to participate in the Lancaster General Health Community Care Collaborative — a new care coordination program from Medicare. The goal of the Lancaster General Health CCC is to provide you with improved coordinated care across care settings including hospital stays, doctors’ offices, rehabilitative centers, and long-term care facilities.
In addition to receiving a letter in the mail informing you that your doctor has elected to participate in The Lancaster General Health CCC, you will also be notified at your next Primary Care Doctor’s office visit. If you still are not sure if your doctor has elected to participate in an ACO, just ask at your next primary care visit.
How will your doctor’s participation in The Lancaster General Health CCC benefit you?
For the purpose of care coordination, Medicare will share certain information about your medical care with your doctor and the ACO, including medical conditions, prescriptions, hospital stays and doctor visits. This is important so that your doctor will have the information needed to track the services you have already received, understand where you may need more care, and find ways to smooth the path for you if you have to transfer in or out of a hospital, or from the care of one doctor to another. For you, this care coordination could mean less paperwork to fill out at the doctor’s office, avoiding unnecessary tests, or more help for you in dealing with any health conditions.
Are Medicare benefits changing because of the new The Lancaster General Health CCC?
No. Your Medicare benefits and the cost of your coverage are not changing. You still have the right to choose to receive care from any doctor or hospital that accepts Medicare, at any time.
What rights do you have if your doctor is participating in The Lancaster General Health CCC?
You will continue to receive the same rights enjoyed by all people with ‘Fee for Service’ Medicare. Since your right to privacy remains very important, Medicare and The Lancaster General Health CCC have put safeguards in place to make sure all your health information is protected. Also, Medicare will not share any information about alcohol and drug treatment history, if you have received such treatment, unless you choose in writing to share it.
Can you still see your regular doctor?
Yes. You will continue to be able to see any doctor or health care provider who accepts Medicare.
What do you need to do if you are notified that your doctor is participating in The Lancaster General Health CCC?
It is important to understand that your doctor, not you, is participating in the Accountable Care Organization, so you do not need to take any additional steps unless you choose not to allow Medicare to share your information for the purposes of care coordination.
How can you ask Medicare not to share your information with your doctor and The Lancaster General Health CCC?
You can choose to prevent Medicare from sharing your general health information for the purpose of care coordination with your doctor and the ACO by taking one of the following actions:
Call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048
When you are in your doctor's office, complete a form that indicates you do not want Medicare to share your health information with the ACO.
Is there a deadline if you choose to decline?
If you choose to prevent Medicare from sharing your health information with your doctor and The Lancaster General Health CCC, the ACO needs to be notified of your decision. However, if you do not decline now, you can choose to decline at any time in the future.
If I previously opted out of information sharing by completing and submitting the "Declining to Share Personal Health Information" form that was mailed to me, or by calling Medicare, can I opt back in?
Yes. Simply do one of the following steps:
Complete, sign and return the "Consent to Change Personal Health Information Preference” to address listed on the form.
Ask for and fill out the “Consent to Change Personal Health Information Preferences” form the next time you are at your doctor’s office.
Call 1-800-MEDICARE (1-800-663-4227) and tell them that you have changed your mind, and that you do want your data shared.
More questions about The Lancaster General Health CCC?
If you have any questions and would like to contact The Lancaster General Health CCC, please call 717-544-1212 or e-mail info@LGHealth.org
For general information on ACOs, please contact Medicare at 1-800-MEDICARE (1-800-633-4227)