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Can ACOs Crack the Healthcare Payment Code?



The multi-year march toward an overhaul of the nation's healthcare delivery system begins this week.  The effects that healthcare reform will have on physicians, hospitals, and payers will be accompanied by disruption and discomfort, but may be mitigated by preparation.



1 comments on "Can ACOs Crack the Healthcare Payment Code?"
Fred J. Pane (9/23/2010 at 9:13 AM)

There have been collaborative models developed over the years that can be benchmarked, when it comes to ACO's. Geisinger, Intermountain, to name two. They have had collaborative models with their physicians and a focus on prevention and treatment of disease across the continuum. There is one focus, to improve healthcare and the outcomes in patients. That is why hospitals operate (their mission to the community) and it is why physicians and other healthcare providers help patients. It has just been that alignment across the continuum of care, has not been there. It hasnot been there for payers also. It will have to be now. About 7-8 years ago I led a teaching hospital administration group to meet with one of our BCBS providers and on behalf of our PPO. We attempeted a p4p model because of the clinical outcomes and paient safety results we were seeing. The payer had no way to address our model.