Premier: ACOs Poised for Growth

Cheryl Clark, for HealthLeaders Media , December 20, 2013

Multi-Owner Regional Population Health Orgs
Premiere's Damore, who has visited140 hospital communities in the last three years notes that "the other thing we're seeing, which isn't in our survey, is the formation of multi-owner regional population health organizations, in which groups of hospitals come together... to focus on population health. And we're beginning to see this in many states."

Damore said that these entities are not yet public, "but we expect many will be in 2014."

Also on the trend list are private arrangements between hospitals and commercial health plans to share data and cost savings.

When claims data is transparent, "this allows the delivery system to really understand use rates, total costs, and to help manage care," Damore said. "In the past 10 days, I've personally met with three different major insurance companies —two commercial and one Blue Cross plan—who are now in the process of shifting a portion of their business into these population health arrangements.

Medical Homes
Providers are also more amenable to creating patient-centered medical homes, Damore said. About 27,000 primary care physicians are estimated to be involved in medical homes nationally.

Lastly, he said, there's been a "rapid growth" in projects to manage high risk populations—that 2% to 3% of any community that uses the most expensive resources to deal with multiple chronic diseases.

"We're seeing a lot of success with organizations putting systems in place."

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