Creating Accountable Care Organizations: The Extended Hospital Medical Staff

Creating accountable care organizations: the extended hospital medical staff.

Many current policies and approaches to performance measurement and payment reform focus on individual providers; they risk reinforcing the fragmented care and lack of coordination experienced by patients with serious illness. In this paper we show that Medicare beneficiaries receive most of their care from relatively coherent local delivery systems comprising physicians and the hospitals where...

Creating "turbo" accountable care organizations for time-critical diagnoses.

Accountable care organizations (ACOs) are scheduled for implementation in 2012 by the Center for Medicare and Medicaid Services (CMS), and this “standard” ACO model seeks to encourage hospitals and ambulatory care practitioners to come together as organized entities responsible clinically and financially for the health care of 5000 Medicare beneficiaries.1,2 However, significant barriers to imp...

Accountable care organizations.

Accountable care organizations.

Accountable care organizations: principles and implications for hospital administrators.

With the passage of the Affordable Care Act (ACA) in 2010, broad agreement has been reached on the need for fundamental reform of healthcare delivery and payment systems. Accountable care organizations (ACOs) have become one of the most discussed provisions of the ACA, and Medicare's Shared Savings Program (SSP), the incentive program tied to ACOs, has the potential to change the delivery of he...