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Volumn 32, Issue 8, 2013, Pages 1426-1432

Regulatory neutrality is essential to establishing a level playing field for accountable care organizations

Author keywords

[No Author keywords available]

Indexed keywords

ACCOMMODATION; ACCOUNTABLE CARE ORGANIZATION; ARTICLE; FEE; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE QUALITY; HUMAN; MEDICARE;

EID: 84884237169     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2012.0360     Document Type: Article
Times cited : (9)

References (15)
  • 2
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    • Of doctors and hospitals: setting the analytical framework for managing and regulating the relationship
    • The fragmentation of U.S. health care: causes and solutions. New York (NY): Oxford University Press
    • Blumstein JF. Of doctors and hospitals: setting the analytical framework for managing and regulating the relationship. Chapter 7 in: Elhauge E, editor. The fragmentation of U.S. health care: causes and solutions. New York (NY): Oxford University Press; 2010. p. 135-64.
    • (2010) Chapter 7 in: Elhauge E, editor. , pp. 135-164
    • Blumstein, J.F.1
  • 3
    • 84884241339 scopus 로고    scopus 로고
    • Organization for Economic Cooperation and Development. Paris: OECD; 2010 [cited 2013 Jun 26]. Available from
    • Organization for Economic Cooperation and Development. Policy framework for effective and efficient financial regulation [Internet]. Paris: OECD; 2010 [cited 2013 Jun 26]. Available from: http://www.oecd.org/dataoecd/28/49/44362818.pdf
    • Policy framework for effective and efficient financial regulation [Internet].
  • 4
    • 84884260549 scopus 로고    scopus 로고
    • Functional regulation automatically adapts to differences in organizational form, including innovations. In contrast, institutional regulation requires the additional step of making sure that the rules are applied consistently
    • Functional regulation automatically adapts to differences in organizational form, including innovations. In contrast, institutional regulation requires the additional step of making sure that the rules are applied consistently.
  • 5
    • 84859528915 scopus 로고    scopus 로고
    • Statement of antitrust enforcement policy regarding accountable care organizations participating in the Medicare Shared Savings Program; final policy statement.
    • Federal Trade Commission, Department of Justice.[cited 2013 Jun 26]. Available from
    • Federal Trade Commission, Department of Justice. Statement of antitrust enforcement policy regarding accountable care organizations participating in the Medicare Shared Savings Program; final policy statement. Federal Register [serial on the Internet]. 2011;76(209): 67026-32 [cited 2013 Jun 26]. Available from: http://www.gpo.gov/fdsys/pkg/FR-2011-10-28/pdf/2011-27944.pdf
    • (2011) Federal Register [serial on the Internet]. , vol.76 , Issue.209 , pp. 67026-67032
  • 6
    • 84859524040 scopus 로고    scopus 로고
    • Accountable care organizations and antitrust: restructuring the health care market
    • Scheffler RM, Shortell SM, Wilensky GR. Accountable care organizations and antitrust: restructuring the health care market. JAMA. 2012; 307(14):1493-4.
    • (2012) JAMA. , vol.307 , Issue.14 , pp. 1493-1494
    • Scheffler, R.M.1    Shortell, S.M.2    Wilensky, G.R.3
  • 8
    • 77958058292 scopus 로고    scopus 로고
    • Unchecked provider clout in California foreshadows challenges to health reform
    • Berenson RA, Ginsburg PB, Kemper N. Unchecked provider clout in California foreshadows challenges to health reform. Health Aff(Millwood). 2010;29(4):699-705.
    • (2010) Health Aff(Millwood). , vol.29 , Issue.4 , pp. 699-705
    • Berenson, R.A.1    Ginsburg, P.B.2    Kemper, N.3
  • 9
    • 80053503308 scopus 로고    scopus 로고
    • Reforming provider payment-the price side of the equation
    • Ginsburg PB. Reforming provider payment-the price side of the equation. N Engl J Med. 2011; 365(14):1268-70.
    • (2011) N Engl J Med. , vol.365 , Issue.14 , pp. 1268-1270
    • Ginsburg, P.B.1
  • 10
    • 84884246578 scopus 로고    scopus 로고
    • California Assembly Committee on Health. Sacramento (CA): State of California; 2011 May 11 [cited 2013 Jun 26]. Available from
    • California Assembly Committee on Health. Bill analysis on SB 751: health care coverage: provider contracts [Internet]. Sacramento (CA): State of California; 2011 May 11 [cited 2013 Jun 26]. Available from: http://www.leginfo.ca.gov/pub/11-12/bill/sen/sb_0751-0800/sb_751_ cfa_20110610_115507_asm_comm.html
    • Bill analysis on SB 751: health care coverage: provider contracts [Internet].
  • 11
    • 84884266604 scopus 로고    scopus 로고
    • American Academy of Actuaries. Washington (DC): The Academy; 2011 Jun [cited 2013 Jun 26]. (Issue Brief). Available from
    • American Academy of Actuaries. An actuarial perspective on accountable care organizations [Internet]. Washington (DC): The Academy; 2011 Jun [cited 2013 Jun 26]. (Issue Brief). Available from: http://www.actuary.org/pdf/ACO_issue_brief.pdf
    • An actuarial perspective on accountable care organizations [Internet].
  • 12
    • 84884254743 scopus 로고    scopus 로고
    • As an example of a less prescriptive regulatory alternative, section 15 of the Massachusetts General Laws, chapter 6D, provides for certification of accountable care organizations independent of Medicare. With respect to governance, it simply requires that an accountable care organization be a legal entity separate from its constituent members; have a governance structure that includes "an administrative officer, a medical officer and patient and consumer representation"; and adopt certain governance structure standards, including standards relating to financial conflicts of interest and transparency
    • As an example of a less prescriptive regulatory alternative, section 15 of the Massachusetts General Laws, chapter 6D, provides for certification of accountable care organizations independent of Medicare. With respect to governance, it simply requires that an accountable care organization be a legal entity separate from its constituent members; have a governance structure that includes "an administrative officer, a medical officer and patient and consumer representation"; and adopt certain governance structure standards, including standards relating to financial conflicts of interest and transparency.
  • 13
    • 80955168674 scopus 로고    scopus 로고
    • Medicare program: Medicare Shared Savings Program: accountable care organizations; final rule
    • Centers for Medicare and Medicaid Services. [cited 2013 Jun 26]. Available from
    • Centers for Medicare and Medicaid Services. Medicare program: Medicare Shared Savings Program: accountable care organizations; final rule. Federal Register [serial on the Internet]. 2011;76(212):67802-990 [cited 2013 Jun 26]. Available from: http://www.gpo.gov/fdsys/pkg/FR-2011-11-02/pdf/2011-27461.pdf
    • (2011) Federal Register [serial on the Internet]. , vol.76 , Issue.212 , pp. 67802-67990
  • 14
    • 84884256574 scopus 로고    scopus 로고
    • Centers for Medicare and Medicaid Services. Baltimore (MD): CMS; 2013 [cited 2013 May 29]. Available from
    • Centers for Medicare and Medicaid Services. Medicare Shared Savings Program: frequently asked questions [Internet]. Baltimore (MD): CMS; 2013 [cited 2013 May 29]. Available from: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-FAQs.pdf
    • Medicare Shared Savings Program: frequently asked questions [Internet].


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.