There are many different types of alternative healthcare deliveries. ACOs bases its mission on providing coordinated care to the patients. This is to ensure that the patients chief complaints get the correct care in a timely fashion. Patient-centered medical homes is a health care delivery method that focuses on the patient first. This form helps with improving the relationships between the clinical team and the patients building a confidence amongst the two supporting better outcomes. Integrated forms of delivery are hospitals that have multispecialty medical practices within the system.
From my personal experience the majority of my adulthood has been in the military. The way the military does their healthcare system is closely related to an ACO, but had a unique direct care system to military treatment facilities. To me I believe that the health care methods are designed to save money and increase proficiency in a high volume environment. I have indifferent feelings about the way care is given in the military, but nonetheless it does provide healthcare to all DOD and their dependence. To me I do believe that going to your primary care is the best way to go about beginning care, it helps with healthcare costs. I also like patient centered medical care, because I think it would help with overall successful outcomes as opposed to ACO’s

Second comment

Patient centered medical home (PCMH)
It is a healthcare model based on the team of health personnel regulated by a healthcare provider. It provide comprehensive and regular medical care of patient with a goal to achieve maximum health outcomes. PCMH provides primary health care to every people of society like child, adult, old. PCMH model brings clinical benefits to patient as well as financial benefits for payers.
Accountable care organization (ACO)
These are the group of doctors, hospitals and other health care providers who come together voluntarily to give coordinated high quality care to their patients. The main goal of this coordinated care ensure specially to the chronically ill patient and give the right care at right time, and preventing medical errors. ACOs don’t away with fee for service but they create an incentive to be more efficient by offering bonuses when providers keep cost down.
PCMH and ACO Difference: PCMH and ACO share common goals of lowering costs and improving patient outcomes, physicians often think of them interchangeably. But they differ in that a PCMH is an approach to care for an individual practice, whereas an ACO is a method of reimbursing a network of providers (Lilian Le & Leslie Jebson. 2015).
My Experience:
I have health insurance with Cigna, I usually don’t go to doctor because I always exercise and eat healthy, and normally I don’t get sick. But once every year I go to “Alexandria Primary Care” clinic for general checkup. Cigna like other health care carriers in the US is part of PCMH and this program evaluates clinicians and practices that use teamwork and technology to deliver coordinated and patient-centered primary care. Couple months ago I went for general checkup to my primary care doctor, I was really shocked with the change of technology and getting all my reports online through ALLCARE website. It really saved my time and I was able to review even my last year doctor visits with all details. Here, I can say: First, I was really satisfied with their service and quality of work. Second, I liked the new technology change. PCMH model aimed at reducing costs, integrating care initiatives, leveraging health information technology and, eventually, providing patients with better quality and health outcomes. its goals in terms of improving the delivery of healthcare services is to encourage practices to improve quality and efficiency.
PCMH helps to build a relationship with the patient and their clinical team. It helps to reduce health care cost and improve patient satisfaction. It is mainly aimed to improve:
 Quality improvement
 Performance improvement
 Patient satisfaction
 Population health management
What to do to Improve population health by PCMH and ACO?
 These organizations should identify the need of health care of people and provide the services.
 These should recognize the economic status of patients and give low cost health services.
 Use appropriate technology to early determination of any sever health problem.
References:
Lilian Le & Leslie Jebson. (2015) ACO or PCMH: Making a crucial decision for your practice. Retrieved from https://www.medicaleconomics.com/view/aco-or-pcmh-making-crucial-decision-your-practice (Links to an external site.)