Unchecked provider clout in California foreshadows challenges to health reform.
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A national strategy to put accountable care into practice.
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How the center for Medicare and Medicaid innovation should test accountable care organizations.
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Leadership in creating accountable care organizations.
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Complementary and alternative medicine practitioners and Accountable Care Organizations: the train is leaving the station.
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Accountable care organizations: the proposed regulations and the prospects for success.
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The 2010 Patient Protection and Affordable Care Act included a provision to promote the formation of Accountable Care Organizations (ACOs). These organizations will be eligible to share in the savings to Medicare if they are able to reduce costs and provide high-quality care. The law allows a wide variety of organizations to become ACOs, even networks of providers that are small compared with major integrated delivery networks. The Center for Medicare and Medicaid Services recently proposed regulations, which are extensive and complex. They impose significant regulatory requirements on these new organizations, ranging from the structure of the organization to quality standards for qualifying for any shared savings. There are a number of challenges to ACOs and it is uncertain whether they can achieve the goals Congress had in mind or even whether many healthcare provider organizations will be interested in participating in the program. The potential for shared savings may be too small to justify the additional costs and regulatory burdens of becoming an ACO. In addition, the incentives to physicians may be inadequate to encourage behavior that reduces cost while maintaining quality. The article reviews the proposed regulations and discusses the prospects for success of ACOs. (+info)
Accountable care organizations, the patient-centered medical home, and health care reform: what does it all mean?
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Early lessons from accountable care models in the private sector: partnerships between health plans and providers.
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