Barriers to the launch of accountable care identified
Health care reform presents a unique opportunity for medical health centers to integrate systems of care, such as accountable care organizations, but not without facing several barriers to implementation, according to an academic health center profile published in the November issue of Health Affairs.
(HealthDay)—Health care reform presents a unique opportunity for medical health centers to integrate systems of care, such as accountable care organizations (ACOs), but not without facing several barriers to implementation, according to an academic health center profile published in the November issue of Health Affairs.
Alfred F. Tallia, M.D., M.P.H., and Jenna Howard, Ph.D., from the Robert Wood Johnson Medical School in New Brunswick, N.J., describe the ongoing efforts to develop an ACO at their academic health center, and the barriers encountered during this process.
The researchers report a three-phase approach to ACO development thus far. Stage one involved creation of a business plan, which was modified in stage two, following discussions with local physician organizations, insurers, government and business leaders, and national and local health care policy leaders. Stage three, which is ongoing, involved readying for implementation, mainly identifying funding for an integrated delivery system. Six main types of barriers were encountered during the ACO development: conceptual, financial, cultural, regulatory, organizational, and historical.
"Academic health centers such as ours have a unique opportunity now to reinvent themselves and lead the discovery and testing of new systems of health care organization and delivery," the authors write. "We have presented some of the challenges to our ACO formation and our ways of answering them, in the hope that other academic health centers can learn from our experience."
More information: Abstract
Full Text (subscription or payment may be required)
Journal reference:
Health Affairs
Copyright © 2012 HealthDay. All rights reserved.
-
Accountable care at Academic Medical Centers: Lessons learned
Feb 02, 2011 |
not rated yet |
0
-
ACR white paper prepares radiologists for participation in accountable care organizations
May 02, 2011 |
not rated yet |
0
-
ACOs find risks, opportunities in quest for reduced costs, improved quality
Aug 02, 2012 |
not rated yet |
0
-
New report warns current policies will not avert health workforce crisis
Jul 18, 2008 |
not rated yet |
0
-
Health reform: How community health centers could offer better access to subspecialty care
Aug 30, 2012 |
not rated yet |
0
-
Motion perception revisited: High Phi effect challenges established motion perception assumptions
Apr 23, 2013 |
3 / 5 (2) |
2
-
Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update)
Apr 02, 2013 |
4.5 / 5 (11) |
5
-
The visual system as economist: Neural resource allocation in visual adaptation
Mar 30, 2013 |
5 / 5 (2) |
9
-
Separate lives: Neuronal and organismal lifespans decoupled
Mar 27, 2013 |
4.9 / 5 (8) |
0
-
Sizing things up: The evolutionary neurobiology of scale invariance
Feb 28, 2013 |
4.8 / 5 (10) |
14
-
Classical and Quantum Mechanics via Lie algebras
Apr 15, 2011
- More from Physics Forums - Independent Research
More news stories
Driving and hands-free talking lead to spike in errors, study shows
Talking on a hands-free device while behind the wheel can lead to a sharp increase in errors that could imperil other drivers on the road, according to new research from the University of Alberta.
Health
9 hours ago |
not rated yet |
0
About one in four uninsured could be excluded from ACA
(HealthDay)—More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act (ACA) do not have a checking account and will not be able to receive premiums from ...
Health
11 hours ago |
not rated yet |
0
Audiologists recommend smart phone apps to monitor noise levels
After studying noise in one French Quarter neighborhood of New Orleans to determine whether or not noise levels exceeded municipal ordinances, Annette Hurley, PhD, Assistant Professor of Audiology at LSU Health Sciences Center ...
Health
13 hours ago |
not rated yet |
0
Young children who miss well-child visits are more likely to be hospitalized
Young children who missed more than half of recommended well-child visits had up to twice the risk of hospitalization compared to children who attended most of their visits, according to a study published today in the American Jo ...
Health
13 hours ago |
not rated yet |
0
Do doctors understand the individualisation of treatments?
The individualisation of drug treatments to support patients to self-manage their conditions is a concept that sits at the heart of policy, but a recent study in BMJ Open shows that there is no concrete defini ...
Health
15 hours ago |
3 / 5 (1) |
0
Engineered cytomegalovirus protects monkeys from HIV equivalent
(Medical Xpress)—A new study by researchers in the US has shown that an ancient virus can be modified to help in the fight against the simian immunodeficiency virus SIV, which is the equivalent in monkeys ...
Researchers identify first drug targets in childhood genetic tumor disorder
Two mutations central to the development of infantile myofibromatosis (IM)—a disorder characterized by multiple tumors involving the skin, bone, and soft tissue—may provide new therapeutic targets, according to researchers ...
Hormone levels may provide key to understanding psychological disorders in women
Women at a particular stage in their monthly menstrual cycle may be more vulnerable to some of the psychological side-effects associated with stressful experiences, according to a study from UCL.
Going live: Immune cell activation in multiple sclerosis
Biological processes are generally based on events at the molecular and cellular level. To understand what happens in the course of infections, diseases or normal bodily functions, scientists would need to ...
Help at hand for people with schizophrenia
How can healthy people who hear voices help schizophrenics? Finding the answer for this is at the centre of research conducted at the University of Bergen.
Alzheimer's disease, the soft target of the euthanasia debate
(Medical Xpress)—The way Alzheimer's disease is portrayed by advocacy groups and the media is having undue influence on the euthanasia debate, according to a Deakin University nursing ethics professor.
