Access the full text.
Sign up today, get DeepDyve free for 14 days.
C. Boyd, J. Darer, C. Boult, L. Fried, L. Boult, A. Wu (2005)
Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance.JAMA, 294 6
J. Toussaint, A. Milstein, S. Shortell (2013)
How the Pioneer ACO Model needs to change: lessons from its best-performing ACO.JAMA, 310 13
A. Sinaiko, M. Rosenthal (2010)
Patients' role in accountable care organizations.The New England journal of medicine, 363 27
N. Biller-Andorno, Thomas Lee (2013)
Ethical physician incentives--from carrots and sticks to shared purpose.The New England journal of medicine, 368 11
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
JAMA – American Medical Association
Published: Mar 12, 2014
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.