2018
DOI: 10.1001/jama.2017.18995
|View full text |Cite
|
Sign up to set email alerts
|

Accountable Care at the Frontlines of a Health System

Abstract: In a time of uncertainty about the future of health care in the United States, at least 2 issues are clear. First, the current system is flawed-at times delivering both too much and too little care that is often fragmented, poorly communicated, and expensive. Second, the incentives in still-pervasive fee-for-service payment models are the basis for many of these problems. The current policy antidote, consisting of alternative payment models such as accountable care organizations (ACOs), builds on the failed ma… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
2

Citation Types

0
9
0

Year Published

2018
2018
2021
2021

Publication Types

Select...
7
1

Relationship

1
7

Authors

Journals

citations
Cited by 9 publications
(9 citation statements)
references
References 10 publications
0
9
0
Order By: Relevance
“…This growth may continue to reassure ACOs regarding commitment to the operational and cultural changes required to augment their care delivery approach. As ACOs seek to manage the tensions between fee‐for‐service plans and value‐based payment plans, focusing on culture change may help to encourage physician support (Ganguli and Ferris ). Future research should examine the iterative dynamic between culture change and the evolving policy environments surrounding both public and private sector ACOs.…”
Section: Discussionmentioning
confidence: 99%
“…This growth may continue to reassure ACOs regarding commitment to the operational and cultural changes required to augment their care delivery approach. As ACOs seek to manage the tensions between fee‐for‐service plans and value‐based payment plans, focusing on culture change may help to encourage physician support (Ganguli and Ferris ). Future research should examine the iterative dynamic between culture change and the evolving policy environments surrounding both public and private sector ACOs.…”
Section: Discussionmentioning
confidence: 99%
“…In addition to a depression screener, the PHQ‐9 has been validated as a continuous measure of depressive symptom severity (Kroenke, Spitzer, & Williams, ). The push for increased depression screening is occurring in the context of medicine's movement toward alternative payment models that emphasize high‐quality and cost‐efficient care (Ganguli & Ferris, ). It has been posited that behavioral health integration and population health management will be incentivized and thus more widely adopted under these emerging payment models ("Smarter Spending.…”
Section: Introductionmentioning
confidence: 99%
“…However, these specialist engagement approaches face significant economic and operational challenges, which our findings may reflect. First, most health systems with ACO contracts have a minority of their patients under these contracts 25 . Even if a reduction in within‐ACO specialist spending results in shared savings, those savings may be offset by loss of fee‐for‐service revenue 14,26 .…”
Section: Discussionmentioning
confidence: 99%