Barriers to the launch of accountable care identified

November 26, 2012
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 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 centers can learn from our experience."

Explore further: ACR white paper prepares radiologists for participation in accountable care organizations

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

ACR white paper prepares radiologists for participation in accountable care organizations

May 2, 2011
The latest American College of Radiology white paper, Strategies for Radiologists in the Era of Health Care Reform and Accountable Care Organizations, published in the May issue of the Journal of the American College of Radiology, ...

ACOs find risks, opportunities in quest for reduced costs, improved quality

August 2, 2012
Many health care systems across the US have declined to participate in the Centers for Medicare and Medicaid Services' (CMS) Accountable Care Organization (ACO) program, developed under the Patient Protection and Affordable ...

Health reform: How community health centers could offer better access to subspecialty care

August 30, 2012
The Affordable Care Act will fund more community health centers, making primary care more accessible to the underserved. But this may not necessarily lead to better access to subspecialty care.

Accountable care organizations have potential to curb costs and improve health care

April 14, 2011
If implemented successfully, accountable care organizations (ACOs) have the ability to achieve better care, better population health, and lower costs, according to a new report released today by the Commonwealth Fund Commission ...

Recommended for you

Wine is good for you—to a point

January 18, 2018
The Mediterranean diet has become synonymous with healthy eating, but there's one thing in it that stands out: It's cool to drink wine.

Sleep better, lose weight?

January 17, 2018
(HealthDay)—Sleeplessness could cost you when it's time to stand on your bathroom scale, a new British study suggests.

Who uses phone apps to track sleep habits? Mostly the healthy and wealthy in US

January 16, 2018
The profile of most Americans who use popular mobile phone apps that track sleep habits is that they are relatively affluent, claim to eat well, and say they are in good health, even if some of them tend to smoke.

Improvements in mortality rates are slowed by rise in obesity in the United States

January 15, 2018
With countless medical advances and efforts to curb smoking, one might expect that life expectancy in the United States would improve. Yet according to recent studies, there's been a reduction in the rate of improvement in ...

Teens likely to crave junk food after watching TV ads

January 15, 2018
Teenagers who watch more than three hours of commercial TV a day are more likely to eat hundreds of extra junk food snacks, according to a report by Cancer Research UK.

Can muesli help against arthritis?

January 15, 2018
It is well known that healthy eating increases a general sense of wellbeing. Researchers at Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) have now discovered that a fibre-rich diet can have a positive influence ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.