A framework for evaluating the formation, implementation, and performance of accountable care organizations.
Health Aff (Millwood)
; 31(11): 2368-78, 2012 Nov.
Article
em En
| MEDLINE
| ID: mdl-23129666
ABSTRACT
The implementation of accountable care organizations (ACOs), a new health care payment and delivery model designed to improve care and lower costs, is proceeding rapidly. We build on our experience tracking early ACOs to identify the major factors-such as contract characteristics; structure, capabilities, and activities; and local context-that would be likely to influence ACO formation, implementation, and performance. We then propose how an ACO evaluation program could be structured to guide policy makers and payers in improving the design of ACO contracts, while providing insights for providers on approaches to care transformation that are most likely to be successful in different contexts. We also propose key activities to support evaluation of ACOs in the near term, including tracking their formation, developing a set of performance measures across all ACOs and payers, aggregating those performance data, conducting qualitative and quantitative research, and coordinating different evaluation activities.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Qualidade da Assistência à Saúde
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Custos de Cuidados de Saúde
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Organizações de Assistência Responsáveis
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Implementação de Plano de Saúde
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Política de Saúde
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article