Building Regulatory And Operational Flexibility Into Accountable Care Organizations And ‘Shared Savings’

The Affordable Care Act created accountable care organizations (ACOs), which will be a new part of Medicare as of January 2012, together with a "shared savings program" that will modify how these organizations will be paid to care for patients. Accountable care organizations have the poten...

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Published in:Health Affairs 2011-01, Vol.30 (1), p.23-31
Main Authors: Lieberman, Steven M, Bertko, John M
Format: Article
Language:English
Subjects:
Accountable care organizations
Beneficiaries
Capitation
Cost control
Federal government
Health care expenditures
Health care policy
Health insurance
Health maintenance organizations
Health policy
HMOs
Independent practice associations
Integrated delivery systems
Judicial reviews
Legislation
Medicaid
Medical service
Medicare
Patient Protection & Affordable Care Act 2010-US
Patients
Primary care
Regulation
Revenue
United States
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description The Affordable Care Act created accountable care organizations (ACOs), which will be a new part of Medicare as of January 2012, together with a "shared savings program" that will modify how these organizations will be paid to care for patients. Accountable care organizations have the potential to lower costs, improve the quality of care, facilitate delivery system reform, and promote innovation in health care. The federal government is set to create rules to regulate these organizations and has broad discretion to allow them to pursue a variety of approaches. Drawing on experience from some ACO pilot programs and the Medicare Part D prescription drug coverage program, we argue that regulations governing accountable care organizations should be flexible, encouraging of diversity and innovation and allowing for changes over time based on lessons learned. We recommend using regulations as a general framework, while relying on notices and other guidance below the regulatory level to spell out specific requirements. [PUBLICATION ABSTRACT]
doi_str_mv 10.1377/hlthaff.2010.0928
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source International Bibliography of the Social Sciences (IBSS); ABI/INFORM global; Social Science Premium Collection; Politics Collection; PAIS Index
subjects Accountable care organizations
Beneficiaries
Capitation
Cost control
Federal government
Health care expenditures
Health care policy
Health insurance
Health maintenance organizations
Health policy
HMOs
Independent practice associations
Integrated delivery systems
Judicial reviews
Legislation
Medicaid
Medical service
Medicare
Patient Protection & Affordable Care Act 2010-US
Patients
Primary care
Regulation
Revenue
United States
title Building Regulatory And Operational Flexibility Into Accountable Care Organizations And ‘Shared Savings’
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