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Accountable Care Program Implementation and Effects on Participating Health Care Systems in Washington State: A

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Implementing accountable care programs (ACPs) requires a modified conceptual model for health systems. This study explains the effects of accountable care network services implementation on participating healthcare systems.

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Health Policy

Background:

  • Accountable Care Programs (ACPs) aim to improve healthcare quality and reduce costs.
  • The State Innovation Model initiative in Washington State involved contracts for accountable care network services.
  • Understanding the impact of ACP implementation on health systems is crucial for effective healthcare delivery.

Purpose of the Study:

  • To explain the effects of accountable care program (ACP) implementation on participating healthcare systems.
  • To analyze the experiences of healthcare executives in large health systems contracting with the Washington State Health Care Authority.
  • To identify necessary adjustments in conceptual models for ACPs.

Main Methods:

  • Key informant interviews with healthcare executives from 5 large health systems.
  • Two rounds of semistructured interviews conducted between January 2017 and May 2018 (n=20).
  • Qualitative analysis of interview data to understand implementation effects.

Main Results:

  • Implementation of ACPs necessitates a revised conceptual framework.
  • Participating health systems experienced various effects from providing accountable care network services.
  • The study highlights the dynamic nature of ACP implementation within complex healthcare systems.

Conclusions:

  • A modified conceptual model is needed to align with current ACP implementation realities.
  • Healthcare systems require adaptive strategies to effectively manage accountable care initiatives.
  • Further research should explore the refinement of conceptual models for accountable care.