Accountable care organizations may have difficulty avoiding the failures of integrated delivery networks of the 1990s.
Health Aff (Millwood)
; 31(11): 2407-16, 2012 Nov.
Article
en En
| MEDLINE
| ID: mdl-23129670
ABSTRACT
Accountable care organizations are intended to improve the quality and lower the cost of health care through several mechanisms, such as disease management programs, care coordination, and aligning financial incentives for hospitals and physicians. Providers employed several of these mechanisms in forming the integrated delivery networks of the 1990s. The networks failed, however, because of heavy financial losses stemming from hospitals' purchase of physician practices and their inability to align incentives, garner capitated contracts, and develop the infrastructure to manage risk. Although the current mechanisms underlying accountable care organizations continue to evolve, whether and how they will have an impact on quality and costs remains open to question. Care coordination and information technology are proving more complicated and expensive to implement than anticipated, providers may lack the ability to implement these mechanisms, and primary care providers are in short supply. As in the 1990s, success depends on targeting specific populations, such as people with multiple chronic conditions who need and may benefit from coordinated care.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Pautas de la Práctica en Medicina
/
Ahorro de Costo
/
Prestación Integrada de Atención de Salud
/
Organizaciones Responsables por la Atención
Tipo de estudio:
Etiology_studies
/
Evaluation_studies
/
Risk_factors_studies
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Health Aff (Millwood)
Año:
2012
Tipo del documento:
Article
País de afiliación:
Estados Unidos