A Radiologist's Primer on Accountable Care Organizations

Breslau, Jonathan; Lexa, Frank J.

doi:10.1016/j.jacr.2010.08.005

Cited by 23 publications

(8 citation statements)

References 17 publications

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“…As one of their many initiatives, ACOs were intended to create a system in which physician and delivery system incentives are better aligned to provide high-quality and cost-effective care, consistent with nationally recognized standards of practice. This drive is, in part, a response to disturbing data on Medicare beneficiaries in the USA, which demonstrated that regions with higher per capita spending tended actually to produce lower quality care and less patient satisfaction 6. While direct comparison with other industrialized nations can be difficult, broader data suggest that the US healthcare system underperforms when compared with other industrialized countries, despite having the highest health expenditures in the world (figures 1 and 2).…”

Section: Brief Historymentioning

confidence: 99%

Accountable Care Organizations: what they mean for the country and for neurointerventionalists

Meehan

Harvey

Duszak

et al. 2015

J NeuroIntervent Surg

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The Affordable Care Act is celebrating its fifth anniversary and remains one of the most significant attempts to reform healthcare in US history. Prior to the federal legislation, Accountable Care Organizations had largely been part of an academic discussion about how to control rising healthcare costs, but have since become a fixture in our national healthcare landscape. A fundamental shift is underway in the relationship between healthcare delivery and payment models. Some elements of Accountable Care Organizations may remain unfamiliar to most healthcare providers, including neurointerventional specialists. In this paper we review the fundamental concepts behind and the current forms of Accountable Care Organizations, and discuss the challenges and opportunities they present for neurointerventionalists.

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Section: Brief Historymentioning

confidence: 99%

Accountable Care Organizations: what they mean for the country and for neurointerventionalists

Meehan

Harvey

Duszak

et al. 2015

J NeuroIntervent Surg

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“…In the future, standardization of fellowship curricula and national accreditation of all programs may serve to further enhance the contribution made by their graduates. Additionally, as the guiding and certifying bodies in radiology, continue to develop more specialized, clinically relevant maintenance of certification, this process can be used to substantiate the radiologist's role and to fulfill criteria set forth by government reimbursement programs such as ACOs (63). …”

Section: Redefining Radiology Boundariesmentioning

confidence: 99%

Academic Radiology in the New Health Care Delivery Environment

Qayyum

Kansagra

et al. 2013

Academic Radiology

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Ongoing concerns over the rising cost of health care are driving large-scale changes in the way that health care is practiced and reimbursed in the United States. To effectively implement and thrive within this new health care delivery environment, academic medical institutions will need to modify financial and business models and adapt institutional cultures. In this paper, we review the expected features of the new health care environment from the perspective of academic radiology departments. Our review will include background on Accountable Care Organizations, identify challenges associated with the new managed care model, and outline key strategies—including expanding the use of existing information technology infrastructure, promoting continued medical innovation, balancing academic research with clinical care, and exploring new roles for radiologists in efficient patient management—that will ensure continued success for academic radiology.

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“…2 First, there is potential to be penalized for increased numbers of performed imaging examinations as compared with a national or local average, despite the reality that the decision to perform a study is joint between radiologist and clinician, and does not rest solely with the radiologist. Second, if a radiologist is not compliant with a study, the radiologist may be implicated in any potential downstream tort cases, despite an informed decision by both clinician and patient.…”

Section: What Are the Challenges?mentioning

confidence: 99%