Early adopters of the accountable care model: a field report on improvements in health care delivery

Early adopters of the accountable care model: a field report on improvements in health care delivery

Collection:
Health Policy and Services Research
Author(s):
Silow-Carroll, Sharon, author
Edwards, Jennifer N., author
Contributor(s):
Commonwealth Fund, issuing body.
Publication:
[New York, N.Y.] : Commonwealth Fund, [2013]
Language(s):
English
Format:
Text
Subject(s):
Accountable Care Organizations -- organization & administration
Delivery of Health Care -- trends
Health Care Reform -- legislation & jurisprudence
Models, Organizational
Organizational Innovation
Quality Improvement
United States
United States.
Genre(s):
Technical Report
Abstract:
Based on interviews with clinical and administrative leaders, this report describes the experiences of seven accountable care organizations (ACOs). Despite gaps in readiness and infrastructure, most of the ACOs are moving ahead with risk-based contracts, under which the ACO shares in savings achieved; a few are beginning to accept "downside risk" as well. Recruiting physicians and changing health care delivery are critical to the success of ACOs--and represent the most difficult challenges. ACO leaders are relying on physicians to design clinical standards, quality measures, and financial incentives, while also promoting team-based care and offering care management and quality improvement tools to help providers identify and manage high-risk patients. The most advanced ACOs are seeing reductions or slower growth in health care costs and have anecdotal evidence of care improvements. Some of the ACOs studied have begun or are planning to share savings with providers if quality benchmarks are met.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (36 pages)).
Illustrations:
Illustrations
NLM Unique ID:
101606570 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101606570