284149
Many journeys to accountable care
Tuesday, November 5, 2013
: 4:50 p.m. - 5:10 p.m.
Eugene Kroch, PhD,
Leonard Davis Institute, University of Pennsylvania and Premier, Inc., Swarthmore, PA
Accountable care has been proposed as a means to reform the U.S. healthcare system, although the best strategies for implementing accountable care are not yet fully understood. These case studies chronicle the journey of four diverse organizations that have begun to implement accountable care. On-site visits were performed to validate organizational self-assessments and conduct semi-structured interviews with executive leaders. The choice of whether, when, and how to pursue accountable care was influenced by the internal and external environment of these healthcare organizations. Organizations employed a number of best practices to achieve administrative, clinical, and IT transformation. They benefited from facilitating factors in their local markets and faced a number of challenges, including the lack of readiness of some payers to engage in value-based contracts and the plentitude of unknowns in the journey to accountable care. Policies supporting care coordination and innovative payment reform will be needed to ensure timely and successful movement of organizations to accountable care.
Learning Areas:
Administration, management, leadership
Chronic disease management and prevention
Provision of health care to the public
Learning Objectives:
Compare alternative ways to build an accountable care organization.
Describe how internal and external environmental factors influence the choice of which way to follow.
Keyword(s): Health Reform, Quality Improvement
Presenting author's disclosure statement:Qualified on the content I am responsible for because: Have lectured and written extensively on health economics and policy. Lead Premierâs efforts to develop measures to track quality, cost, and access, conducting research on large-scale health databases. Senior fellow at Penn's LDI. BS from MIT PhD in economics from Harvard. Serve as advisor to HHS, including CMS and CMMI investigating alternatives for health care payment reform, quality, and access, most recently to guide ACO formation via the Pioneer and MSSP programs.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
