A Policy Prescription for 2012

Two years after the enactment of the Affordable Care Act, opponents and proponents are destined to collide in the Supreme Court. The controversy surrounding health reform, if not decisively determined by the Court, will certainly impact the upcoming elections. The Continue Reading …

Scrambling to rescue ACO’s

Health care systems such as the Mayo and Cleveland clinics  – which are organized the way policy makers envision accountable care organizations – initially balked at the rules proposed by CMS. Now, the rules have changed. After receiving a significant Continue Reading …

Coordinated Care: Show me the money!

Policy makers are scrambling to find ways to reduce the cost of health care. One mechanism, converting a fee-for-service system to a prospective payment system, faces uphill battles at home and abroad. Proposed changes in health care delivery and financing, Continue Reading …

Implementing ACO’s

One strategy for implementing Accountable Care Organizations is detailed in the case study of Advocate Physician Partners. This case report describes Advocate Physician Partners (APP) in Illinois, a physician-hospital Accountable Care Organization (ACO) model which seeks to integrate independent physician Continue Reading …

Holding Caregivers Accountable

Payers for health services have attempted to restructure payment methodologies to align provider incentives with the production of efficient and quality care. Accountable care organizations are the latest iteration of this trend. Section 3022 of the new health reform law Continue Reading …