A framework for evaluating the formation, implementation, and performance of accountable care organizations

Health Affairs

Volumn 31, Issue 11, 2012, Pages 2368-2378

  Fisher, Elliott S ^a   Shortell, Stephen M ^b   Kreindler, Sara A ^c   Van Citters, Aricca D ^a   Larson, Bridget K ^a  

^a DARTMOUTH INSTITUTE FOR HEALTH POLICY AND CLINICAL PRACTICE   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c Winnipeg Health Authority   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; ARTICLE; CONTRACT; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH PROGRAM; HUMAN; MEDICAL INFORMATION; PUBLIC HEALTH INSURANCE;

ACCOUNTABLE CARE ORGANIZATIONS; FEMALE; HEALTH CARE COSTS; HEALTH PLAN IMPLEMENTATION; HEALTH POLICY; HUMANS; MALE; MEDICARE; ORGANIZATIONAL INNOVATION; POLICY MAKING; PROGRAM EVALUATION; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 84871856379     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2012.0544     Document Type: Article

References (23)

1. Fisher ES, Staiger DO, Bynum JPW, Gottlieb DJ. Creating accountable care organizations: the extended hospital medical staff. Health Aff (Millwood). 2007;26(1):w44-57. DOI: 10.1377/hlthaff.26.1.w44.
2. Colla CH, Wennberg DE, Meara E, Skinner JS, Gottlieb D, Lewis VA, et al. Spending differences associated with the Medicare Physician Group Practice Demonstration. JAMA. 2012;308(10):1015-23.
3. Song Z, Safran DG, Landon BE, He Y, Ellis RP, Mechanic RE, et al. Health care spending and quality in year 1 of the alternative quality contract. N Engl J Med. 2011; 365(10):909-18.
4. 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.
5. Fisher E, McClellan M. Accountable care organizations: a framework for evaluating proposed rules. Health Affairs Blog [blog on the Internet]. 2011 Mar 31 [cited 2012 Oct 19]. Available from: http://healthaffairs .org/blog/2011/03/31/accountablecare-organizations-a-framework-forevaluating-proposed-rules/
6. Walker J, McKethan A. Achieving accountable care-"it's not about the bike." N Engl J Med. 2012;366(2): e4.
7. Van Citters AD, Larson BK, Carluzzo KL, Gbemudu JN, Kreindler SA, Wu FM, et al. Toward accountable care: four health care organizations' efforts to improve patient care and reduce costs [Internet]. New York (NY): Commonwealth Fund; 2012 13 Jan [cited 2012 Oct 10]. Available from: http://www.commonwealth fund.org/Publications/Case-Studies/2012/Jan/Four-Health-Care-Organizations.aspx
8. Bailit M, Hughes C. Key design elements of shared-savings payment arrangements [Internet]. New York (NY): Commonwealth Fund; 2011 Aug 16 [cited 2012 Oct 10]. Available from: http://www.commonwealth fund.org/Publications/Issue-Briefs/ 2011/Aug/Shared-Savings-Payment-Arrangements.aspx
9. Delbanco SF, Anderson KM, Major CE, Kiser MB, Toner BW. Promising payment reform: risk-sharing with accountable care organizations [Internet]. New York (NY): Commonwealth Fund; 2011 Jul [cited 2012 Oct 10]. Available from: http:// www.commonwealthfund.org/ Publications/Fund-Reports/2011/ Jul/Promising-Payment-Reform .aspx
10. The call for proposals in this program is now closed. Robert Wood Johnson Foundation. Accountable care organizations: testing their impact-2012 call for proposals [Internet]. Princeton (NJ): RWJF; [cited 2012 Oct 18]. Available from: http://pweb1.rwjf.org/applications/ solicited/cfp.jsp?ID=21401
11. Lewis VA, Larson BK, McClurg AB, Boswell RG, Fisher ES. The promise and peril of accountable care for vulnerable populations: a framework for overcoming obstacles. Health Aff (Millwood). 2012;31(8):1777-85.
12. Audet AMJ, Kenward K, Patel S, Joshi MS. Hospitals on the path to accountable care: highlights from a 2011 national survey of hospital readiness to participate in an accountable care organization [Internet]. New York (NY): Commonwealth Fund; 2012 Aug 17 [cited 2012 Oct 10]. Available from: http:// www.commonwealthfund.org/ Publications/Issue-Briefs/2012/ Aug/Hospitals-on-the-Path-to-Accountable-Care.aspx
13. Larson BK, Van Citters AD, Kreindler SA, Carluzzo KL, Gbemudu JN, Wu FM, et al. Insights from transformations under way at four Brookings-Dartmouth accountable care organization pilot sites. Health Aff (Millwood). 2012;31 (11):2395-2406.
14. 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.
15. To access the Appendix, click on the Appendix link in the box to the right of the article online
16. Fisher ES, Shortell SM. Accountable care organizations: accountable for what, to whom, and how. JAMA. 2010;304(15):1715-6.
17. Shortell SM, Weinberger M. Safety net accountable care organization (ACO) readiness assessment tool [Internet]. Berkeley (CA): Universityof California; 2012 Feb [cited 2012 Sep 11]. Available from: http:// www.law.berkeley.edu/files/bclbe/ Mar6_FINAL_combined.pdf
18. University of California, Berkeley. National Study of Physician Organizations [home page on the Internet]. Berkeley (CA): University of California; [cited 2012 Sep 11]. Available from: http://nspo.berkeley .edu
19. American Hospital Association, Health Research and Educational Trust. Surveying hospitals and health systems about their readiness to be accountable for the continuum of patient care [Internet]. Chicago (IL): HRET; [cited 2012 Oct 10]. Available from: http://www.hret.org/reform/projects/surveyinghospitals-health-systemsaccountable-continum-patientcare. shtml
20. A more detailed list of measures is in the pilot ACO data collection tools, available on request from the authors
21. Scheffler R, Shortell S, Wilensky G. Accountable care organizations and antitrust: restructuring the health care market. JAMA. 2012;307(14): 1493-4.
22. For example, the High Value Health Care Project was an initiative of the Quality Alliance Steering Committee, supported by Robert Wood Johnson Foundation, America's Health Insurance Plans, and the Brookings Institution, that developed a standardized approach to aggregating administrative data across multiple health plans
23. Participating payers implement the HealthPartners measure of total medical expense (actual payments) and price-standardized payments for each member of their commercial populations. These are summarized at the local-market (hospital service area) level, stratified by age and sex, and sent to Dartmouth for aggregation across payers. The same kind of data, if made available on a timely basis, could support ACOs in their improvement work