While many people describe ACOs as a function of what they intend to accomplish, we have found that ACOs start with aligned financial structures and then build process-level care management approaches on top of that foundation.
Salt Lake City, Utah (PRWEB) March 21, 2013
The Leavitt Partners Center for Accountable Care Intelligence and Dr. Brent James, chief quality officer at Intermountain Healthcare, have coauthored and released a white paper titled “The Accountable Care Paradigm: More Than Just Managed Care 2.0.”
Drawing from an ongoing study by Leavitt Partners of more than 400 U.S. ACOs (Accountable Care Organizations), along with Dr. James’ extensive experience rethinking and reinventing quality improvement, this paper describes the accountable care movement comparing it to managed care efforts of the 1990s.
Whether ACOs will achieve their desired results of lowering cost, improving quality outcomes and increasing patient satisfaction is still to be determined, but rather than simply mimicking past managed care efforts, the accountable care movement represents a paradigm shift in how health care is financed and delivered.
The Leavitt Partners white paper—The Accountable Care Paradigm: More Than Just Managed Care 2.0—identifies common structural similarities, approaches and expected outcomes that have emerged as ACOs and managed care organizations are evaluated together.
“While many people describe ACOs as a function of what they intend to accomplish,” says Andrew Croshaw, white paper co-author, partner and managing director of the Leavitt Partners Center for Accountable Care Intelligence, “we have found that ACOs start with aligned financial structures and then build process-level care management approaches on top of that foundation. The accountable care paradigm is more than just realizing the desired results. It is about how those results are achieved.”
The white paper identifies and defines three core requirements of Accountable Care Organizations. An ACO will:
(1) Bear financial risk for the health care needs of a defined population,
(2) Coordinate and oversee the clinical provision of care across the continuum of health care services, and
(3) Provide measured outcomes relating to both cost and population health.
“People may question managed care in its attempt to limit financial risk for a population by using unpopular methods like utilization review and gatekeeping,” says Croshaw. “Accountable care moves beyond that narrow focus to address how care is provided and includes quality reporting which makes these organizations ‘accountable’ for much more than only cost.”
Visit ACO.LeavittPartners.com to receive a free copy of The Accountable Care Paradigm: More Than Just Managed Care 2.0 white paper.
About Leavitt Partners
Leavitt Partners is a health care intelligence business. The firm delivers collaborative, high-value intelligence that helps clients transition to new models of care. Through its member-based collaboration called Health Intelligence Partners™ and direct services to clients, the consulting firm provides the best available window to the future of American health care. For more information visit LeavittPartners.com or call 801.538.5082.
About Dr. Brent James
Dr. Brent James is well known for his efforts to improve clinical care and quality outcomes by standardizing clinical processes. He is the chief quality officer at Intermountain Healthcare and serves as executive director of Intermountain Healthcare’s Institute for Health Care Delivery Research. To learn more, visit IntermountainHealthcare.org.