The commercial ACOs often aren't even called ACOs. They're called alliances, partnerships, affiliations or any number of other names. The Michigan Blues, for instance, calls its program 'organized systems of care.' And these commercial ACOs aren't limited to hospital and physician teams. They are configured to include:
Minnesota's Mayo Clinic may not be interested in the CMS version of accountable care organizations, but it is making moves to strengthen and extend its hospital-physician integration model. In May it signed an agreement with Altru Health System in Grand Forks, N.D. Altru's hospital and clinics now have access to Mayo Clinic physicians, as well as to Mayo's disease management protocols, clinical trials, and clinical care guidelines.
While Mayo isn't slapping the ACO name on this arrangement, it certainly reflects efforts to improve care coordination across multiple systems and to provide better care to patients. Time will tell if this arrangement is cost-effective as well.
A few months ago I spoke with Steve Mansfield, president and CEO of Methodist Health System in Dallas.