Commonwealth Fund, issuing body.
John A. Hartford Foundation, issuing body.
Milbank Memorial Fund, issuing body.
Peterson Center on Healthcare, issuing body.
Robert Wood Johnson Foundation issuing body.
SCAN Foundation, issuing body.
[New York, N.Y.] : The Commonwealth Fund, December 2018
ISSUE. With an incentive to provide high-quality care while controlling costs, accountable care organizations (ACOs) may focus on patients who require the most resources and are most at risk for encountering serious problems with their care. Understanding how ACOs approach care for complex patients requires examination of their organizational strategies, contracting details, and leadership structures. GOALS. Describe the specific strategies employed by ACOs that have comprehensive care management programs and processes for complex patients. METHODS. Cross-sectional descriptive analysis of the fourth wave of the National Survey of ACOs. KEY FINDINGS. Most ACOs report having comprehensive chronic care management processes or programs in place to manage people with complex needs. More labor-intensive interventions, however, are rare. Few ACOs report having advanced programs for engaging patients, in-home visits after hospital discharge, or evidence-based services for patients needing mental health or addiction treatment. CONCLUSION. While ACOs have increased their efforts to target populations with complex care needs, there is a need for more varied approaches to improving care delivery.
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