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Health Plan, Provider Partnerships May Trump ACOs
Accountable care organizations carry significant financial risks for providers. An integrated delivery system partnering providers with health plans offers a simpler organization structure and less risk, research suggests.
There is an interesting juxtaposition of demanding great precision in a care process, but not providing any precision on a population basis. Clearly the message is do the care process on all patients, accept the fuzziness on financial/reporting metrics. The net result is trying to advocate for the environment described in the draft regulations to a Board of Directors/Trustees as career limiting compared to a "wait and see" for both final regulations, success/failure, what ever else the policy types will come up with for the next alternative. I think the provider segment is genuinely disappointed that the draft regulations describe a "bridge too far." One can only speculate as to why CMS established such a hard journey compared to all the other paths.