Nearly nine of 10 leaders in health care and health care policy believe current financial interests and lack of incentives for integration are significant barriers to the growth of accountable care systems. The latest Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey finds strong majorities of leaders report that providing special payment arrangements and incentives to providers--like those in the Patient Protection and Affordable Care Act--will be effective strategies for fostering coordination and integration in health care delivery. More than eight of 10 leaders feel that developing performance metrics, implementing provisions to increase transparency and public reporting, and establishing an Innovation Center within the Centers for Medicare and Medicaid Services should receive high priority from the Secretary of Health and Human Services. Survey respondents support development of a national accreditation system for accountable care organizations and public utility-type regulation of payment rates in areas with insufficient market competition.
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