EDITORIAL Surgeon Participation in Accountable Care Organizations Sahael M. Stapleton, MD, z David C. Chang, PhD, MBA, MPH, z David W. Rattner, MD, z and Timothy G. Ferris, MD, MPHyz ccountable care organizations (ACOs) lie at the intersection of policies aimed at capturing health A care quality, cost, and value. By managing all of the health care needs for a group of patients, the ACO model offers shared savings to providers in exchange for delivering high-quality care that succeeds in reducing costs. The push for ACOs is rooted in the financial forecasts, which predict continued unsustainable growth in health care costs, which will continue to crowd out investment in other vital areas. There are currently 923 active public and private ACOs in the United States (US) providing care for 32 million lives or roughly 10% of the population. Recently published data by the Centers for Medicare and Medicaid Services (CMS) demonstrated that the 480 ACO groups under its purview were able to achieve $1.3 billion dollars in total cost savings in 2015. Further evidence exists that ACOs can improve quality of care, and notably, that physician lead ACOs achieve greater cost savings. Nonetheless, the adoption of this new health
Annals of Surgery – Wolters Kluwer Health
Published: Mar 1, 2018
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