Early lessons from accountable care models in the private sector: Partnerships between health plans and providers

Health Affairs

Volumn 30, Issue 9, 2011, Pages 1718-1727

  Higgins, Aparna ^a,b   Stewart, Kristin ^c   Dawson, Kirstin ^c   Bocchino, Carmella ^c  

^a Private Market Innovations   (United States)

^b BRANDEIS UNIVERSITY   (United States)

^c America's Health Insurance Plans   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; ARTICLE; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HEALTH INSURANCE; HUMAN; MEDICARE; ORGANIZATION AND MANAGEMENT;

ACCOUNTABLE CARE ORGANIZATIONS; COOPERATIVE BEHAVIOR; HEALTH BENEFIT PLANS, EMPLOYEE; HEALTH PERSONNEL; MODELS, ORGANIZATIONAL; PRIVATE SECTOR; REIMBURSEMENT MECHANISMS; UNITED STATES;

EID: 84855670736     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2011.0561     Document Type: Article

References (19)

1. Accountable Care Organization Learning Network [home page on the Internet]. Washington (DC): Brookings Institution; c2011 [last updated 2011; cited 2011 Aug 12]. Available from: http://www.acolearningnetwork.org/
2. Premier Inc. Accountable care collaboratives [Internet]. Charlotte (NC): Premier Inc.; [cited 2011 Aug 11]. Available from: http://www.premierinc.com/qualitysafety/tools-services/ACO/index.jsp
3. American Medical Group Association. Accountable care organizations [Internet]. Alexandria (VA): AMGA; [cited 2011 Aug 12]. Available from: http://www.amga.org/research/research/ACO/index_aco.asp
4. Hester J, Lewis J, McKethan A. The Vermont accountable care organization pilot: a community health system to control total medical costs and improve population health [Internet]. New York (NY): Commonwealth Fund; 2010 May [cited 2011 Aug 12]. Available from: http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2010/May/1403_Hester_Vermont_accountable_care_org_pilot.pdf
5. Goldsmith J. Accountable care organizations: the case for flexible partnerships between health plans and providers. Health Aff (Millwood). 2011;30(1):32-40.
6. Devore S, Champion RW. Driving population health through accountable care organizations. Health Aff (Millwood). 2011;30(1):41-50.
7. Chernew ME, Mechanic RE, Landon BE, Safran DG. Private-payer innovation in Massachusetts: the alternative quality contract. Health Aff (Millwood). 2011;30(1):51-61.
8. Steele GD, Haynes JA, Davis DE, Tomcavage J, Stewart WF, Graf TR, et al. How Geisinger's advanced medical home model argues the case for rapid-cycle innovation. Health Aff (Millwood). 2010;29(11):2047-53.
9. Shields MC, Patel PH, Manning M, Sacks L. A model for integrating independent physicians into accountable care organizations. Health Aff (Millwood). 2011;30(1):161-72.
10. Department of Health and Human Services. Report to Congress: national strategy for quality improvement in health care [Internet]. Washington (DC): HHS; 2011 Mar [cited 2011 Aug 12]. Available from: http://www.healthcare.gov/center/reports/quality03212011a.html
11. Fisher ES. Building a medical neighborhood for the medical home. N Engl J Med. 2008;359(12):1202-5.
12. Moore KD, Coddington DC. From volume to value: the transition to accountable care organizations. Greenwood Village (CO): McManis Consulting; 2011.
13. Sinaiko AD, Rosenthal MB. Patients' role in accountable care organizations. N Engl J Med. 2010;363(27):2583-5.
14. Higgins AR, Zeddies T, Pearson SD. Measuring the performance of individual physicians by collecting data from multiple health plans: the results of a two-state test. Health Aff (Millwood). 2011;30(4):673-81.
15. McClellan M, McKethan A, Lewis J, Roski J, Fisher E. A national strategy to put accountable care into practice. Health Aff (Millwood). 2010;29(5):982-90.
16. Greene R. Beyond the efficiency index: finding a better way to reduce overuse and increase efficiency in physician care. Health Aff (Millwood). 2008;27(4):250-9.
17. Pearson SD, Schneider EC, Kleinman KP, Coltin KL, Singer JA. The impact of pay-for-performance on health care quality in Massachusetts, 2001-2003. Health Aff (Millwood). 2008;27(4):1167-76.
18. Liberman S, Bertko JM. Building regulatory and operational flexibility into accountable care organizations and shared savings. Health Aff (Millwood). 2011;30(1):23-31.
19. Tompkins CP, Higgins AR, Ritter GA. Measuring outcomes and efficiency in Medicare value-based purchasing. Health Aff (Millwood). 2009;28(2):251-61.