Accountable Care Organizations
Accountable Care Organizations Wednesday, May 8, 2013
The accountable care organization (ACO) concept represents a new payment and delivery model in which a group of coordinated health care providers—primary care physicians, specialists, and hospitals—are collectively accountable for the quality and cost of care delivered to a defined group of patients. By incentivizing the delivery of cost-effective, coordinated care, ACOs have the potential to generate better quality care at a lower cost, resulting in improved health outcomes and shared savings.
The featured Innovations describe two ACOs that used financial risk sharing and various improvement initiatives to reduce health care utilization and costs for defined patient populations—one that operates under an annual global budget for individuals covered by the California Public Employees Retirement System, and a county-based ACO in Minnesota that serves Medicaid beneficiaries.
The featured QualityTools include a tool for safety net providers to assess their capabilities and readiness to become ACOs and a toolkit for physicians that provides information about essential elements of a successful ACO and step-by-step implementation guidance.
- Accountable Care Organization Featuring Shared Global Risk Stimulates Development of Initiatives To Improve Care, Reduces Inpatient Use and Costs
- County-Based Accountable Care Organization for Medicaid Enrollees Features Shared Risk, Electronic Data Sharing, and Various Improvement Initiatives, Leading to Lower Utilization and Costs
Also in This Issue:
- State Legislation Supports Professional Development of Community Health Workers, Leading to Greater Professional Recognition, Enhancements in Training, and Funding
- Public-Private Partnership Supports Medical Homes in Managing Medicaid Enrollees via Disease/Case Management and Other Initiatives, Leading to Higher Quality and Significant Cost Savings
- Self-Directed Budget Enhances Access to Home Health and Other Needed Services, Resulting in Fewer Unmet Needs, Better Health Outcomes, and High Satisfaction for Medicaid Beneficiaries