- Unique arrangements – The Centers for Medicare and Medicaid Services has served as a catalyst for ACO growth, over half of the ACOs surveyed work outside of government in a melting pot of hospital systems, physician groups and commercial payers. With few exceptions, each ACO represents a unique combination of risk-bearing arrangements, care coordination, technology solutions and goals.
- Physicians taking a lead – The number of ACOs led by physician groups has increased dramatically. Physicians bring primary care and medical home experience, but face a challenge in building data platforms to manage populations.
- Greater risk – Almost one-third of the ACOs surveyed have capitation contracts for a portion of their population, which is the payment arrangement most often cited as the ultimate goal of the accountable care movement.
- Hands-on care coordination – Health information technology constitutes a major part of the care coordination equation, but most strategies are labor intensive. Care transition coordinators, care management coordinators, wellness programs, and health coaches were common elements of the ACOs surveyed.
Leavitt Partners And KLAS Research Release Comprehensive Report On Accountable Care Organizations
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