Accountable Care Organizations: Accountable for What, to Whom, and How

Proponents hope that Accountable Care Organizations (ACOs) will allow physicians, hospitals, and other clinicians and health care organizations to work more effectively together to both improve quality and slow spending growth. However, skeptics are concerned that ACOs will focus narrowly on their b...

Full description

Saved in:
Bibliographic Details
Published in:JAMA : the journal of the American Medical Association 2010-10, Vol.304 (15), p.1715-1716
Main Authors: Fisher, Elliott S, Shortell, Stephen M
Format: Article
Language:English
Subjects:
Accountability
Federal legislation
Health Policy
Humans
Managed Competition - economics
Managed Competition - standards
Medicaid - legislation & jurisprudence
Medicare
Medicare - legislation & jurisprudence
Organizations
Outcome Assessment (Health Care) - methods
Quality Indicators, Health Care
United States
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Proponents hope that Accountable Care Organizations (ACOs) will allow physicians, hospitals, and other clinicians and health care organizations to work more effectively together to both improve quality and slow spending growth. However, skeptics are concerned that ACOs will focus narrowly on their bottom line and either stint on needed care or use the leverage they achieve through local integration to demand unreasonable prices from payers. Here, Fisher and Shortell comment on whether ACOs will achieve their ambitious promise remains far from certain.
ISSN:0098-7484
1538-3598
DOI:10.1001/jama.2010.1513