Report of the 2012 ASHP Task Force on Accountable Care Organizations

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This article will appear in the January 1, 2013, issue of AJHP. Accountable care organizations (ACOs) are groups of health care providers (e.g., physicians, hospitals, health systems) that are jointly held responsible for improving the quality of care and reducing costs (or the rate of growth in costs) across the health care continuum, including the ambulatory care, inpatient, and long-term-care settings. The Patient Protection and Affordable Care Act (generally known as the Affordable Care Act) enacted in March 2010 authorized the Centers for Medicare and Medicaid Services (CMS) to contract with ACOs to provide health care to Medicare beneficiaries under the Shared Savings Program beginning in January 2012. The goals of the Shared Savings Program are threefold: improve care for individuals, improve the health of the population, and reduce the rate of growth in health care expenditures. Several models for reimbursement have been explored involving the payment of bonuses to such health care groups as incentives for achieving CMS goals for performance and cost savings. Shared risk is part of some models. Assessment of quality An audio interview, which supplements the information in this article, is available on AJHP’s website at www.ajhp.org/site/misc/ podcasts.xhtml.

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تاریخ انتشار 2012