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Fall Member Summit 2012. Accountable Care in America: Highlights of U.S. payment and delivery reform trends. October 16, 2012. Understanding the Movement. Active Tracking of ACOs 328+ ACOs and growing Secondary research Interviewing ACO Leaders 60+ interviews and growing Primary research
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Accountable Care in America:Highlights of U.S. payment and delivery reform trends October 16, 2012
Understanding the Movement • Active Tracking of ACOs • 328+ ACOs and growing • Secondary research • Interviewing ACO Leaders • 60+ interviews and growing • Primary research • Analyzing ACO Trends • Data analysis • Expert insight • Performing Local Market Research • Interviews with local stakeholders • Helps project local trends
Defining ‘Accountable Care’ • Bear financial risk for the measured health of a population • Align incentives to encourage the production of high quality health outcomes • Improve the individual experience of care • Improve population health • Reduce the cost of health care for populations • Oversee the provision of clinical care • Coordinate the provision of care across the continuum of health services • Invest in and learn to use appropriate IT to manage population health
Monitoring Trends ACO Density ACO Sponsor
Monitoring Trends (Continued) Govt vs. Commercial Payer Involvement
Sharing Insights • Profile of Accountable Care Organization Development • 57 interviews • First hand perspective • Insightful commentary • Structure and Development • Implementation challenges • Payment arrangement trends • Care coordination activities • Health Information Technology • HIT trends • Technology and service gaps &
Ingredients for Success Outcomes ACO Risk Stack Processes Prime Full Risk Structures Subprime Full or Partial Risk Vendor Fee-for-service
