Accountable Care Organizations, Global Payments, and Capitation Reimbursement: Eliminating Fee-for-Service Physician Compensation

2015 ◽  
pp. 435-466
Keyword(s):  
Accountable Care Organizations ◽  
Fee For Service ◽  
Accountable Care ◽  
Physician Compensation

scholarly journals The impacts of accountable care organizations on patient experience, health outcomes and costs: a rapid review

2020 ◽  
Vol 25 (2) ◽  
pp. 130-138
Author(s):  
Michael Wilson ◽  
Adrian Guta ◽  
Kerry Waddell ◽  
John Lavis ◽  
Robert Reid ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Patient Experience ◽  
Accountable Care Organization ◽  
Accountable Care Organizations ◽  
Rapid Review ◽  
Care Organization ◽  
Fee For Service ◽  
Accountable Care ◽  
Quadruple Aim ◽  
Service Models

Objectives Accountable care organizations were implemented as a system-level approach to address quality differences and curb increasing healthcare costs in the United States of America, and have garnered the interest of policy makers in other countries to support better management of patients. The objectives of this paper are to: (1) identify the impacts of accountable care organizations on improving the quadruple aim goals of improving patient experience of care, enhancing population health outcomes, reducing the per capita cost of health care and ensuring positive provider experiences and (2) determine how and why such impacts have been achieved through accountable care organizations. Methods We used a rapid review approach, searching Health Systems Evidence (for systematic reviews) and PubMed (for reviews and studies). Results were reviewed for inclusion independently by two researchers. Data were extracted by one reviewer and checked for consistency by another. Results We identified one recent systematic review and 59 primary studies that addressed the first objective ( n = 54), the second objective ( n = 4) or both objectives ( n = 1). The reviewed studies suggest that accountable care organizations reduce costs without reducing quality. Key findings related to objective 1 include: (1) there are positive trends across the quadruple–aim outcomes for accountable care organizations as compared to Medicare fee-for-service or group physician fee-for-service models; (2) accountable care organizations produced modest cost savings, which are largely attributable to savings in outpatient expenses among the most medically complex patients and reductions in the delivery of low-value services; (3) accountable care organization models met the majority of quality measures and perform better than their fee-for-service counterparts and (4) there is relatively little evidence about the impact of accountable care organizations on provider experience. Qualitative studies related to objective 2 highlighted mechanisms that were important for enabling accountable care organizations, including supplemental staff to enhance coordination and accountable care organization-wide electronic health records. Conclusions General trends and increased adoption of models similar to accountable care organizations outside of the USA suggest that these models outperform traditional fee-for-service models across the quadruple aim goals, although with mixed evidence about health outcomes.

Patient Experiences of Integrated Care in Medicare Accountable Care Organizations and Medicare Advantage Versus Traditional Fee-For-Service

Medical Care ◽  
2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Molly Frean ◽  
Christian Covington ◽  
Maike Tietschert ◽  
Hassina Bahadurzada ◽  
Jodi So ◽  
...  
Keyword(s):  
Integrated Care ◽  
Patient Experiences ◽  
Accountable Care Organizations ◽  
Fee For Service ◽  
Medicare Advantage ◽  
Accountable Care

scholarly journals Association of Pioneer Accountable Care Organizations vs Traditional Medicare Fee for Service With Spending, Utilization, and Patient Experience

JAMA ◽  
2015 ◽  
Vol 313 (21) ◽  
pp. 2152 ◽  
Author(s):  
David J. Nyweide ◽  
Woolton Lee ◽  
Timothy T. Cuerdon ◽  
Hoangmai H. Pham ◽  
Megan Cox ◽  
...  
Keyword(s):  
Patient Experience ◽  
Accountable Care Organizations ◽  
Fee For Service ◽  
Accountable Care

Creating Accountable Care Organizations

2010 ◽  
Vol 363 (15) ◽  
pp. e23 ◽  
Author(s):  
Thomas H. Lee ◽  
Lawrence P. Casalino ◽  
Elliott S. Fisher ◽  
Gail R. Wilensky
Keyword(s):  
Accountable Care Organizations ◽  
Accountable Care

New Summary Measures of Population Health and Well-Being for Implementation by Health Plans and Accountable Care Organizations

2016 ◽  
Vol 6 (7) ◽  
Author(s):  
Thomas E. Kottke ◽  
◽  
Jason M. Gallagher ◽  
Sachin Rauri ◽  
Juliana O. Tillema ◽  
...  
Keyword(s):  
Population Health ◽  
Well Being ◽  
Accountable Care Organizations ◽  
Health Plans ◽  
Accountable Care ◽  
Summary Measures ◽  
Health And Well Being
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