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Shared Savings in Accountable Care Organizations

Shared Savings in Accountable Care Organizations Opinion VIEWPOINT How to Determine Fair Distributions Accountable care organizations (ACOs) are playing a level interventions (eg, new information technology in- Matthew DeCamp, MD, PhD major role in health care reform. In the last 2 years alone, terventions or care management programs). After all, Berman Institute of Medicare ACOs have proliferated to cover more than 5 clinician-based distributions are not the only way to im- Bioethics and Division million Medicare beneficiaries in more than 360 orga- prove patient care while lowering costs. It might be un- of General Internal nizations nationwide. In ACOs, individual clinicians (in- fair to patients, for instance, if the success of an ACO re- Medicine, Johns Hopkins University, cluding physicians, physician assistants, and nurse prac- lies on patients’ personal behavioral changes (even Baltimore, Maryland. titioners, among others), group practices, and, in some healthy ones) while savings go mainly to performance cases, hospitals contract with payers to be jointly ac- incentives and bonuses. Jeremy Sugarman, countable for the health outcomes and expenditures of Similarly, savings should be balanced with respect MD, MPH, MA a defined patient population. By meeting specified qual- to administrative and infrastructural expenses. Form- Berman Institute of Bioethics and Division ity measures while http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Shared Savings in Accountable Care Organizations

JAMA , Volume 311 (10) – Mar 12, 2014

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References (4)

Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2014.498
pmid
24618958
Publisher site
See Article on Publisher Site

Abstract

Opinion VIEWPOINT How to Determine Fair Distributions Accountable care organizations (ACOs) are playing a level interventions (eg, new information technology in- Matthew DeCamp, MD, PhD major role in health care reform. In the last 2 years alone, terventions or care management programs). After all, Berman Institute of Medicare ACOs have proliferated to cover more than 5 clinician-based distributions are not the only way to im- Bioethics and Division million Medicare beneficiaries in more than 360 orga- prove patient care while lowering costs. It might be un- of General Internal nizations nationwide. In ACOs, individual clinicians (in- fair to patients, for instance, if the success of an ACO re- Medicine, Johns Hopkins University, cluding physicians, physician assistants, and nurse prac- lies on patients’ personal behavioral changes (even Baltimore, Maryland. titioners, among others), group practices, and, in some healthy ones) while savings go mainly to performance cases, hospitals contract with payers to be jointly ac- incentives and bonuses. Jeremy Sugarman, countable for the health outcomes and expenditures of Similarly, savings should be balanced with respect MD, MPH, MA a defined patient population. By meeting specified qual- to administrative and infrastructural expenses. Form- Berman Institute of Bioethics and Division ity measures while

Journal

JAMAAmerican Medical Association

Published: Mar 12, 2014

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