Moving toward implementation: The potential for accountable care organizations and private–public partnerships to advance active neighborhood design

Zusman, Edie E.; Carr, Sara Jensen; Robinson, James V.; Kasirye, Olivia; Zell, Bonnie; Miller, William Jahmal; Duarte, Teri H.; Engel, A.; Hernández, Mónica Melle; Horton, Mark B.; Williams, Frank

doi:10.1016/j.ypmed.2014.08.009

Cited by 16 publications

(9 citation statements)

References 16 publications

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“…2–5 These gains have led to further policy changes intended to accelerate adoption of these and other alternative payment models such as the Next Generation ACO model, Accountable Health Communities model, Comprehensive ESRD Care model, and Oncology Care model. 6–9 …”

mentioning

confidence: 99%

Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries

et al. 2016

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IMPORTANCE-Accountable care contracts hold physician groups financially responsible for the quality and cost of health care delivered to patients. Focusing on clinically vulnerable patients, those with serious conditions who are responsible for the greatest proportion of spending, may result in the largest effects on both patient outcomes and financial rewards for participating physician groups.OBJECTIVE-To estimate the effect of Medicare accountable care organization (ACO) contracts on spending and high-cost institutional use for all Medicare beneficiaries and for clinically vulnerable beneficiaries. DESIGN, SETTING, AND PARTICIPANTS-For this cohort study, 2 study populations were defined: the overall Medicare population and the clinically vulnerable subgroup of Medicare beneficiaries. The overall Medicare population was based on a random 40% sample drawn from

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mentioning

confidence: 99%

Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries

et al. 2016

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“…63 Contrary to the traditional health care model that is based on fees for services rendered, ACOs will be financially rewarded for minimizing expenditures within their pool of covered lives by, for example, preventing hospital admissions. In this model, HL initiatives will become a central intervention for this preventive model.…”

Section: Example 1: Multisector Initiatives and Private/public Partnementioning

confidence: 99%

Healthy Lifestyle Interventions to Combat Noncommunicable Disease—A Novel Nonhierarchical Connectivity Model for Key Stakeholders: A Policy Statement From the American Heart Association, European Society of Cardiology, European Association for Cardiovascular Prevention and Rehabilitation, and American College of Preventive Medicine

Arena¹,

Guazzi²,

Lianov³

et al. 2015

Mayo Clinic Proceedings

108

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Noncommunicable diseases (NCDs) have become the primary health concern for most countries around the world. Currently, more than 36 million people worldwide die from NCDs each year, accounting for 63% of annual global deaths; most are preventable. The global financial burden of NCDs is staggering, with an estimated 2010 global cost of $6.3 trillion (US dollars) that is projected to increase to $13 trillion by 2030. A number of NCDs share one or more common predisposing risk factors, all related to lifestyle to some degree: (1) cigarette smoking, (2) hypertension, (3) hyperglycemia, (4) dyslipidemia, (5) obesity, (6) physical inactivity, and (7) poor nutrition. In large part, prevention, control, or even reversal of the aforementioned modifiable risk factors are realized through leading a healthy lifestyle (HL). The challenge is how to initiate the global change, not toward increasing documentation of the scope of the problem but toward true action-creating, implementing, and sustaining HL initiatives that will result in positive, measurable changes in the previously defined poor health metrics. To achieve this task, a paradigm shift in how we approach NCD prevention and treatment is required. The goal of this American Heart Association/European Society of Cardiology/European Association for Cardiovascular Prevention and Rehabilitation/American College of Preventive Medicine policy statement is to define key stakeholders and highlight their connectivity with respect to HL initiatives. This policy encourages integrated action by all stakeholders to create the needed paradigm shift and achieve broad adoption of HL behaviors on a global scale.

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“…Accountable Care Organizations (ACOs) 47,48 , a concept born out of the ACA, may allow for employers to make a strategic alliance that is economically attractive. An ACO "is a group of health care providers who agree to share responsibility for the quality, cost, and coordination of care for a defined population of patients."…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Development and Implementation of Worksite Health and Wellness Programs: A Focus on Non-Communicable Disease

Cahalin¹,

Kaminsky²,

Lavie³

et al. 2015

Progress in Cardiovascular Diseases

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The development and implementation of worksite health and wellness programs (WHWPs) in the United States (US) hold promise as a means to improve population health and reverse current trends in non-communicable disease incidence and prevalence. However, WHWPs face organizational, economic, systematic, legal, and logistical challenges which have combined to impact program availability and expansion. Even so, there is a burgeoning body of evidence indicating WHWPs can significantly improve the health profile of participating employees in a cost effective manner. This foundation of scientific knowledge justifies further research inquiry to elucidate optimal WHWP models. It is clear that the development, implementation and operation of WHWPs require a strong commitment from organizational leadership, a pervasive culture of health and availability of necessary resources and infrastructure. Since organizations vary significantly, there is a need to have flexibility in creating a customized, effective health and wellness program. Furthermore, several key legal issues must be addressed to facilitate employer and employee needs and responsibilities; the US Affordable Care Act will play a major role moving forward. The purposes of this review are to: 1) examine currently available health and wellness program models and considerations for the future; 2) highlight key legal issues associated with WHWP development and implementation; and 3) identify challenges and solutions for the development and implementation of as well as adherence to WHWPs.

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Moving toward implementation: The potential for accountable care organizations and private–public partnerships to advance active neighborhood design

Cited by 16 publications

References 16 publications

Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries

Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries

Development and Implementation of Worksite Health and Wellness Programs: A Focus on Non-Communicable Disease

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