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Health Care Accountable Care Organizations

Journal Article
End-of-Life Care Planning in Accountable Care Organizations: Associations with Organizational Characteristics and Capabilities
About 60 % of Accountable Care Organizations (ACOs) have some kind of end-of-life care planning processes in place, but only about 20% have established advanced planning processes.
Jul 18, 2017
Report
The NIHR Invention for Innovation (i4i) programme: A review of progress and contributions to innovation in healthcare technologies: Extended summary
The NIHR Invention for Innovation (i4i) programme supports the development of innovative medical technologies. Rand Europe evaluated the programme to identify its outputs and impacts. This report is an extended summary of the full report.
Dec 11, 2015
Report
The NIHR Invention for Innovation (i4i) programme: A review of progress and contributions to innovation in healthcare technologies
The NIHR Invention for Innovation (i4i) programme supports the development of innovative medical technologies. RAND Europe evaluated the programme to identify its outputs and impacts, and to examine the factors influencing performance.
Jun 11, 2015
Journal Article
Hospital and Regional Variation in Medicare Payment for Inpatient Episodes of Care
Health care spending varies widely between geographic regions, but there is disagreement regarding the appropriate policy response.
Apr 22, 2015
News Release
Promise of Value-Based Purchasing in Health Care Remains to Be Demonstrated
After a decade of experimentation with reforms that give health providers financial incentives to improve performance, relatively little is known about how to best execute such strategies or judge their success.
Mar 4, 2014
Report
Measuring Success in Health Care Value-Based Purchasing Programs: Summary and Recommendations
Reviews what has been learned over the past decade about performance-based payment strategies in health care and offers recommendations for the design, implementation, and monitoring and evaluation of value-based purchasing programs.
Mar 4, 2014
Report
Promise of Value-Based Purchasing in Health Care Remains to Be Demonstrated
After a decade of experimentation with reforms that give health providers financial incentives to improve performance, relatively little is known about how to best execute such strategies or judge their success.
Mar 4, 2014
News Release
Factors Linked to Creation of Accountable Care Organizations Identified
Regions of the United States where doctors and hospitals are consolidated into large networks are more likely to have accountable care organizations, medical practice structures intended to improve medical care and cut costs.
Oct 7, 2013
Journal Article
Factors Linked to Creation of Accountable Care Organizations Identified
Regions of the United States where doctors and hospitals are consolidated into large networks are more likely to have accountable care organizations, medical practice structures intended to improve medical care and cut costs.
Oct 1, 2013
Testimony
Improving Care for Medicare Beneficiaries with Physician Payment Reform
Physician payment policy is shifting from one that incentivizes the delivery of more services without regard to quality or outcomes to one that incentivizes the delivery of high quality, resource conscious health care. Thoughtful incentive design can ease the transition process for both physicians and the Medicare program.
Jun 5, 2013
Testimony
Efforts to Reform Physician Payment by Tying Payment to Performance
Public and private sector purchasers are actively working to design value-based payment programs to achieve the goals of improved quality and more efficient use of health care resources. How these programs are designed is a complex undertaking and one that will determine the likelihood of their success.
Feb 14, 2013
Q&A
ACOs: Making Organizations 'Accountable' for Care
The Affordable Care Act focuses primarily on extending coverage to uninsured Americans, but it is also intended to help curb cost growth. M. Susan Ridgely explains one of the key tools for doing that—the “accountable care organization,” an alternative delivery model intended to lower costs while also improving quality of care.
Dec 19, 2012
Research Brief
Providers Influence the Bulk of Health Care Spending in the U.S.
Providers can dramatically improve American health care by focusing on “value” instead of “volume,” eliminating wasteful and inappropriate care, applying the best available evidence to their practices, and enhancing patient safety.
Nov 15, 2012
Journal Article
Medicare Postacute Care Payment Reforms Have Potential To Improve Efficiency Of Care, But May Need Changes To Cut Costs
ACA-mandated payment reforms need to achieve more than a one-time cost saving.
Sep 1, 2012
Journal Article
Simulation Suggests That Medical Group Mergers Won't Undermine the Potential Utility of Health Information Exchanges
Federal and state agencies are investing substantial resources in the creation of community health information exchanges, which are consortia that enable independent health care organizations to exchange clinical data.
Mar 1, 2012
Journal Article
Accountable Care Organizations and Community Empowerment
This commentary argues that involving communities in the formation of accountable care organizations would be a dramatic step toward more patient-centered care.
May 4, 2011
News Release
Investment in New Health Care Quality Measures Needed as Cost-Cutting Strategies Grow
As the health care industry, employers, and government officials seek to control the growth of health spending, new efforts are needed to develop and refine quality-of-care and other performance measures that can assure changes will improve medical care and do not harm patients.
Feb 22, 2011
Report
Investment in New Health Care Quality Measures Needed as Cost-Cutting Strategies Grow
Health care spending reforms should be met with new efforts to develop and refine quality of care and other performance measures in order to assure that any changes will improve medical care and not harm patients.
Feb 22, 2011
Journal Article
Where Americans Get Acute Care: Increasingly, It's Not at Their Doctor's Office
Only 42 percent of the 354 million annual visits in the U.S. for acute care—treatment for newly arising health problems—are made to patients' personal physicians. The rest are made to emergency departments (28 percent), specialists (20 percent), or outpatient departments (7 percent).
Sep 1, 2010
Journal Article
Quality-of-care Indicators for HIV/AIDS
The authors suggest that for adults with HIV/AIDS, indicators might include measures of health status and patient satisfaction, and essential care processes.
Jan 1, 2000