Tag Archives: Accountable Care Organizations

A Framework For Understanding ‘Savings’ From Accountable Care Organizations

The complexity of the ACO payment structure means there are a few ways one could measure savings. The semantic questions here are challenging and variation in how terms are used can lead to confusion. We attempt to clarify the meanings of “savings” and draw out the implications for the program.

October 17, 2017

The 2017 ACO Survey: What Do Current Trends Tell Us About The Future Of Accountable Care?

More aggressive care delivery changes may be necessary for accountable care organizations to achieve their stated goals of reducing costs and improving quality.

October 4, 2017

Variation In End-Of-Life Care Is An Open Invitation For Accountable Care Organization Innovation

Individuals with a serious or terminal condition are a population with a demonstrated need for care coordination that is currently woefully unmet in the fee-for-service environment.

August 25, 2017

What Should We Conclude From ‘Mixed’ Results In Payment Reform Evaluations?

It is true that evaluation results of payment reform models so far are not cause for celebration, but there are some positive cost and quality results and lessons are accumulating that can inform the next set of program parameters, incentive structures, and tools to help clinicians succeed.

August 14, 2017

Medicare’s Programs Should Compete

Fielding three Medicare programs might make sense if they were designed to compete against one another.

June 15, 2017

Market Momentum, Spillover Effects, And Evidence-Based Decision Making On Payment Reform

With so many diverse reforms taking place, how is it possible to generate the evidence needed for informed decision making about payment reforms for the future?

May 24, 2017

Evidence on Payment Reform: Where Are The Gaps?

The US health care system is transforming how it pays for and delivers care. However, the transition to new models is not easy. Initial results on the impact of payment reforms found large gaps in evidence for state and commercial-based payment reforms.

April 25, 2017

As MACRA Implementation Proceeds, Changes Are Needed

MACRA threatens to push many providers out of fee-for-service before they have a safe place to land. Policy makers should consider both making the Merit-Based Incentive Payment System less onerous and greatly accelerating the development and implementation of viable alternative payment models.

April 21, 2017

The Future Of Delivery System Reform

There is bipartisan agreement on the goal of promoting more efficient and effective health care. The debate is over the best way to accomplish the goal, not the goal itself.

April 20, 2017

How Are Hospital-Based ACOs Addressing Community Health?

Results from an RWJF-funded study highlight many of the tensions that accountable care organizations are currently facing. Premier Inc., in conjunction with three other firms, developed the study.

October 27, 2016