Radiology in pioneer accountable care organizations: much ado about nothing?

نویسندگان

  • David A Rosman
  • Joaquim Farinhas
  • Pam Kassing
  • Laura N Pattie
  • Geraldine McGinty
چکیده

Amid the political banter that continues to surround the Patient Protection and Affordable Care Act, or Obamacare, 32 accountable care organizations (ACOs) participating in CMS’s Pioneer ACO Model dove in headfirst to see if this new model for aggregating, coordinating, and financing health care accomplishes the stated goals of the Institute for Healthcare Improvement’s Triple Aim Initiative [1]: (1) to improve patients’ experience of care, (2) to improve population health, and (3) to reduce costs. One year into the experiment, it turned out that 13 of the 32 had saved enough money to participate in shared savings of $76 million. Only 2 of the 32 had shared losses, which totaled $4 million [2]. Nine left the Pioneer ACOModel for the less risky Medicare Shared Savings Program, and 2 left the program entirely. Twenty-three decided to continue participation as Pioneer ACOs for a second year, with both upside and downside risk. The questions for radiologists are: How has imaging fared? And radiologists? The ACR, through its Radiology Integrated Care Network, has been working to answer those questions in an effort to ensure that radiology is well informed and that radiologists are positioned for success [3]. As CMS put forward its request for information regarding the next round of Pioneer ACO recruitment, it allowed radiologists participating in ACOs time to reflect on the experience thus far, allowing the ACR to

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Accountable Care Growth In 2014: A Look Ahead

On December 23, 2013, the Centers for Medicare and Medicaid Services announced 123 new Medicare Shared Savings Program [1] (MSSP) Accountable Care Organizations (ACOs). This represents the fourth round of MSSP participants, which, coupled with the Pioneer ACOs, brings the number of Medicare ACOs to 366. Some of these organizations were already known to be ACOs, including those that transferred ...

متن کامل

Characteristics of Rural Accountable Care Organizations (ACOs) – A Survey of Medicare ACOs with Rural Presence.

Accountable Care Organizations (ACOs) are groups of health care providers, principally physicians and hospitals, who develop a new entity that contracts to provide coordinated care to assigned patients with the goal of improving quality of care while controlling costs. Section 3022 of the Patient Protection and Affordable Care Act of 2010 created the Medicare Shared Savings Program (SSP). The C...

متن کامل

Adopting accountable care through the Medicare framework.

By enacting the Patient Protection and Affordable Care Act of 2010 (ACA), Congress provoked change in the status quo in American health care delivery and payment. Although challenged by conservative voices resistant to change, the ACA survived its recent constitutional challenge. Regardless of how Congress tries to amend the ACA in the future, one vestige of the ACA likely to remain at least in...

متن کامل

ACR white paper: Strategies for radiologists in the era of health care reform and accountable care organizations: a report from the ACR Future Trends Committee.

Accountable care organizations have received considerable attention as a component of health care reform and have been specifically addressed in recent national legislation and demonstration projects by CMS. The role or roles of radiologists in such organizations are currently unclear, as are changes to the ways in which imaging services will be delivered. The authors review concepts fundamenta...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Journal of the American College of Radiology : JACR

دوره 12 2  شماره 

صفحات  -

تاریخ انتشار 2015