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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Accountable Care Organizations and Population Health Organizations.

Lawrence P Casalino1, Natalie Erb, Maulik S Joshi2

  • 1Weill Cornell Medical College.

Journal of Health Politics, Policy and Law
|July 1, 2015
PubMed
Summary

Accountable Care Organizations (ACOs) and hospitals can broaden their focus beyond attributed patients to improve the health of entire geographic communities by addressing social determinants of health. Collaboration and sustainable financing models are key to this expanded population health approach.

Keywords:
accountable care organizationspopulation healthpublic health

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Area of Science:

  • Healthcare Management
  • Public Health Policy
  • Community Health Initiatives

Background:

  • Accountable Care Organizations (ACOs) and hospitals typically define "population health" as the health of patients attributed to their organization by payers.
  • A broader definition of population health encompasses the well-being of all individuals within a specific geographic area.
  • There is a growing discussion about whether healthcare organizations should invest in addressing socioeconomic determinants of health.

Purpose of the Study:

  • To explore the arguments for and against healthcare organizations investing in socioeconomic determinants of health.
  • To examine current practices of ACOs and hospitals in addressing broader community health.
  • To propose models for community-wide population health initiatives and their financing.

Main Methods:

  • Review of existing literature and arguments concerning healthcare organizations' role in community health.
  • Case examples of ACOs and hospitals engaging in limited population health initiatives.
  • Analysis of proposals for inter-organizational coalitions and sustainable financing.

Main Results:

  • Healthcare organizations face arguments both for and against investing in socioeconomic determinants of health.
  • Limited examples exist of ACOs and hospitals actively working to improve the health of their entire geographic population.
  • These initiatives suggest potential for collaboration with community organizations.

Conclusions:

  • ACOs and hospitals can expand their population health efforts to include the broader community.
  • Collaboration with diverse community partners is essential for improving geographic population health.
  • Developing sustainable financing mechanisms is crucial for the long-term success of these initiatives.