Driving Population Health Through Accountable Care Organizations
Driving Population Health Through Accountable Care Organizations
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DOI：
10.1377/hlthaff.2010.0935
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发表时间：
2011-01-01
期刊：
影响因子：
9.7
通讯作者：
Champion, R. Wesley
中科院分区：
文献类型：
--
作者：
DeVore, Susan;Champion, R. Wesley
责任医疗组织计划成为《平价医疗法案》下医疗保险计划的一部分，已被推广为提高医疗保健质量、降低成本增长和提高患者满意度的一种方式。目前尚不清楚这些组织将如何发展。但原则上，他们必须满足质量指标，采用改进的护理流程，承担风险，并为人口健康提供激励。这些功能与当今的卫生服务系统截然不同。 2010 年 5 月，Premier 医疗保健联盟成立了责任医疗实施协作组织，该组织由寻求通过与私人付款人建立合作伙伴关系来追求问责制的卫生系统组成，以从按服务收费的支付模式发展到新的价值驱动模式。本文介绍了协作参与者如何构建模型和开发最佳实践，为责任医疗组织和公共政策的实施提供信息。
Accountable care organizations, scheduled to become part of the Medicare program under the Affordable Care Act, have been promoted as a way to improve health care quality, reduce growth in costs, and increase patients' satisfaction. It is unclear how these organizations will develop. Yet in principle they will have to meet quality metrics, adopt improved care processes, assume risk, and provide incentives for population health and wellness. These capabilities represent a radical departure from today's health delivery system. In May 2010 the Premier healthcare alliance formed the Accountable Care Implementation Collaborative, which consists of health systems that seek to pursue accountability by forming partnerships with private payers to evolve from fee-for-service payment models to new, value-driven models. This article describes how participants in the collaborative are building models and developing best practices that can inform the implementation of accountable care organizations as well as public policies.