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Can Accountable Care Organizations Improve Population Health?

Can Accountable Care Organizations Improve Population Health? VIEWPOINT Can Accountable Care Organizations Improve Population Health? Should They Try? Talking about ACOs as if they are focusing on improv- Douglas J. Noble, MD, MPH ing population health—as opposed to improving medical Lawrence P. Casalino, MD, PhD care for their populations of patients—leads to a lack of clar- ity about what ACOs are doing and about population health HE NUMBER OF ACCOUNTABLE CARE ORGANIZATIONS and may divert attention away from social and public health (ACOs) increased rapidly during 2012. There are services and from socioeconomic factors critical to health. now more than 250. This increase is likely to ac- It would be unfortunate if ACOs, which have been con- Tcelerate: commercial health insurers are signing ceived in idealistic terms, were to result in a narrowing and ACO-like contracts with health care organizations, and the medicalization of the phrase “population health.” return of President Obama to the White House, as well as Currently, ACOs lack the incentives and, in most cases, the Supreme Court ruling upholding the Affordable Care the capabilities to be responsible for population health de- Act (ACA), have removed uncertainty about the Medicare fined as the health of everyone in their geographic area. ACOs ACO program. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Can Accountable Care Organizations Improve Population Health?

JAMA , Volume 309 (11) – Mar 20, 2013

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2013.592
pmid
23512057
Publisher site
See Article on Publisher Site

Abstract

VIEWPOINT Can Accountable Care Organizations Improve Population Health? Should They Try? Talking about ACOs as if they are focusing on improv- Douglas J. Noble, MD, MPH ing population health—as opposed to improving medical Lawrence P. Casalino, MD, PhD care for their populations of patients—leads to a lack of clar- ity about what ACOs are doing and about population health HE NUMBER OF ACCOUNTABLE CARE ORGANIZATIONS and may divert attention away from social and public health (ACOs) increased rapidly during 2012. There are services and from socioeconomic factors critical to health. now more than 250. This increase is likely to ac- It would be unfortunate if ACOs, which have been con- Tcelerate: commercial health insurers are signing ceived in idealistic terms, were to result in a narrowing and ACO-like contracts with health care organizations, and the medicalization of the phrase “population health.” return of President Obama to the White House, as well as Currently, ACOs lack the incentives and, in most cases, the Supreme Court ruling upholding the Affordable Care the capabilities to be responsible for population health de- Act (ACA), have removed uncertainty about the Medicare fined as the health of everyone in their geographic area. ACOs ACO program.

Journal

JAMAAmerican Medical Association

Published: Mar 20, 2013

References