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Transforming healthcare delivery: Why and how accountable care organizations must evolve
Christopher T Chen1, D Clay Ackerly2, Gary Gottlieb3
1Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts. chris.chen@post.harvard.edu.
Abstract:
Accountable care organizations (ACOs) have shown promise in reducing healthcare spending growth, but have proven to be financially unsustainable for many healthcare organizations. Even ACOs with shared savings have experienced overall losses because the shared savings bonuses have not covered the costs of delivering population health. As physicians and former ACO leaders, we believe in the concept of accountable care, but ACOs need to evolve if they are to have a viable future. We propose the novel possibility of allowing ACOs to bill fee-for-service for their population health interventions, a concept we call population health billing. Journal of Hospital Medicine 2016;11:658-661. © 2016 Society of Hospital Medicine.
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