Accountable Care Organizations May Have Difficulty Avoiding The Failures Of Integrated Delivery Networks Of The 1990s

2012 ◽  
Vol 31 (11) ◽  
pp. 2407-2416 ◽  
Author(s):  
Lawton R. Burns ◽  
Mark V. Pauly
Keyword(s):  
Accountable Care Organizations ◽  
Accountable Care ◽  
Integrated Delivery ◽  
Delivery Networks

Creating Accountable Care Organizations

2010 ◽  
Vol 363 (15) ◽  
pp. e23 ◽  
Author(s):  
Thomas H. Lee ◽  
Lawrence P. Casalino ◽  
Elliott S. Fisher ◽  
Gail R. Wilensky
Keyword(s):  
Accountable Care Organizations ◽  
Accountable Care

Assessing Patient Activation and Engagement Activities at Primary Care Clinics Within Accountable Care Organizations.

2020 ◽  
Author(s):  
Stephen Shortell ◽  
Hector Rodriguez ◽  
Patricia Ramsay ◽  
Susan Ivey ◽  
Glyn Elwyn ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Activation ◽  
Accountable Care Organizations ◽  
Accountable Care ◽  
Primary Care Clinics

New Summary Measures of Population Health and Well-Being for Implementation by Health Plans and Accountable Care Organizations

2016 ◽  
Vol 6 (7) ◽  
Author(s):  
Thomas E. Kottke ◽  
◽  
Jason M. Gallagher ◽  
Sachin Rauri ◽  
Juliana O. Tillema ◽  
...  
Keyword(s):  
Population Health ◽  
Well Being ◽  
Accountable Care Organizations ◽  
Health Plans ◽  
Accountable Care ◽  
Summary Measures ◽  
Health And Well Being

Accountable care organizations 101

2014 ◽  
Vol 20 (4) ◽  
pp. 62-64
Author(s):  
Leavitt Partners
Keyword(s):  
Accountable Care Organizations ◽  
Accountable Care

Procedural Protections for Patients in Capitated Health Plans

1996 ◽  
Vol 22 (2-3) ◽  
pp. 301-330
Author(s):  
Eleanor D. Kinney
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Health Maintenance Organizations ◽  
Data Systems ◽  
American Health Care System ◽  
Health Maintenance ◽  
Integrated Delivery ◽  
Provider Organization ◽  
Delivery Networks

In the American health care system, payers are rapidly moving toward the use of capitation as the preferred method for paying for health care services for sponsored patients. n capitation, the payer pays a provider organization a set rate per patient to care for a group of patients. The provider organization assumes the risk of the actual costs of caring for these covered lives. The theory of capitation is that providers, by assuming risk, will have incentives to contain their costs.The provider entity that provides the care can take many corporate forms. A capitated provider can be a small group of physicians with admitting privileges at a single hospital or a complex integrated delivery network comprised of hospitals, physicians, and other health care professionals and institutions with integrated case management and data systems. Currently such integrated delivery networks assume a variety of organizational forms, ranging from traditional staff model health maintenance organizations (HMOs) in which physicians are employees of the health plan to physician hospital organizations (PHOs) in which physicians and hospitals join together for purposes of contracting with payers. Hospitals and physicians belonging to their medical staffs are motivated to form integrated delivery networks or other consolidated business organizations in order to contract with payers that seek providers willing to accept financial risk for the care of sponsored patients. Providers join such arrangements out of fear of losing patients if they do not.

Preparing for Accountable Care Organizations

CHEST Journal ◽  
2013 ◽  
Vol 143 (4) ◽  
pp. 1140-1144 ◽  
Author(s):  
Randall T. Curnow ◽  
Jesse T. Doers
Keyword(s):  
Accountable Care Organizations ◽  
Accountable Care
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