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Updated: Jun 10, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Accountable care the journey begins.
Keith D Moore1, Dean C Coddington
1McManis Consulting, Greenwood Village, Colo, USA. kmoore@mcmanisconsulting.com
Accountable care organizations (ACOs) offer a broad framework for healthcare reform. Developing ACOs requires strategic choices regarding market, services, reimbursement, and organizational structure for successful implementation.
Area of Science:
- Healthcare Reform
- Health Services Research
Background:
- Accountable Care Organizations (ACOs) are a key component of healthcare reform legislation.
- The broad definition of ACOs allows for diverse implementation strategies across different regions.
Purpose of the Study:
- To outline a strategic framework for healthcare providers developing Accountable Care Organizations (ACOs).
- To guide providers in navigating the complexities of ACO formation and implementation.
Main Methods:
- The study proposes a strategic decision-making process for ACO development.
- Key considerations include target market selection, service area definition, and reimbursement models.
Main Results:
- Successful ACO development necessitates careful planning of provider structure and core support elements.
- Identifying patient-related and organizational strategies is crucial for improvement.
Conclusions:
- Providers must adopt a tailored approach to ACO development based on strategic choices.
- Effective ACO implementation relies on a comprehensive strategy encompassing market, operations, and patient engagement.
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