ACO Member Engagement Question Title * 1. Are you a member of an integrated health system/Accountable Care Organization (ACO)? Yes No Question Title * 2. If yes, please provide the name of the organization? Question Title * 3. What best describes your present primary practice setting? Private practice (solo) Private practice (multiple dermatologists) Multispecialty group practice Academic Military Other Other (please specify) Question Title * 4. If you are not in a solo practice, how many others are in your group? Number of physicians in group Question Title * 5. How long have you been in your present practice setting? Years Question Title * 6. Did you change practice settings upon joining the ACO? Yes No Question Title * 7. If so, what was it before? Private practice (solo) Private practice (multiple dermatologists) Multispecialty group practice Academic Military Other Other (please specify) Question Title * 8. How long have you been part of the ACO? Years Question Title * 9. Why did you join an ACO? Question Title * 10. Were you invited to join the ACO or did you seek to join the ACO? Practice invited to join Individually invited to join Practice sought to join Individual sought to join Other (please specify) Question Title * 11. If you sought to join, did you encounter any resistance to joining the ACO? Yes No Question Title * 12. As part of an ACO, what specific processes do you have to ensure coordination of care? coordination with primary care physicians, handoff procedures, or specific referral processes. Coordination with primary care physicians Handoff procedures Specific referral procedures Other (please specify) Question Title * 13. As part of an ACO, are you required to be on-call nights/weekends? Yes No Unknown Question Title * 14. As part of an ACO, are you expected/required to keep costs low? Yes No Unknown Question Title * 15. If yes, have you been asked to enact any specific measures to do so? Question Title * 16. Who provides dermatologic care within your ACO? Primary care providers General midlevel providers (PAs, NPs) "Dermatology trained" midlevel providers Dermatologists Question Title * 17. How do you patients in the ACO access dermatologic care? Patients have open access to dermatologists Patients are actively discouraged from seeing specialists Patients must see PCP first Patients must first be referred to a midlevel professional There are an insufficient number of dermatologists in the ACO to provide needed care, Specialists have a higher copay that deters patients Other (please specify) Question Title * 18. Are other specialties represented in your ACO? If yes, please check all that apply. General and family practice Internal Medicine Pediatrics Obstetrics and gynecology Orthopedic surgery Ophthalmology Cardiology Psychiatry Oncology Otolaryngology Urology Neurology Other (please specify) Question Title * 19. What best describes your payment model in your ACO? Fee for service Salary Capitated care Bundled payments Other Other (please specify) Question Title * 20. Does this differ from your previous practice setting payment paradigm? Yes No Unknown Question Title * 21. Do you accept Medicare Medicaid None of the above Question Title * 22. ACOs are built on a model of shared savings. Does your model include you in the shared savings? Yes No Unknown Other (please specify) Question Title * 23. If so, do you know how the savings will be shared? Question Title * 24. What, if any, specific benefits do you think you will gain as a dermatologist with the formation of ACOs? Question Title * 25. Can the AADA staff members reach out to you to follow up on your answers? Yes No Question Title * 26. If yes, please provide a contact number or email for staff to follow-up. Done