ACOs Seen As Tough Sell, Despite Concessions

The opportunity for ROI may not be enough to convince healthcare providers to adopt Medicare accountable care organizations under the Centers for Medicare & Medicaid Services final rules, say some industry observers.

2 comments on "ACOs Seen As Tough Sell, Despite Concessions"
Tim Richardson (12/1/2011 at 8:10 AM)

Since patients can directly access any provider, including sub-specialists, under ACOs many will attempt to claim that they are providing "primary care" for certain high-risk populations: Endocrinologists may try to become the primary care provider for diabetics. Physiologists may try to provide "primary care" for older people and Orthopedic or neurosurgeons may try to provide 'primary care" for people with arthritis. Tim Richardson, PT
Jennifer N (10/25/2011 at 11:18 AM)

Since ACOs are a hard sell, they must prove to be a financially sound opportunity. They should reflect a model that will allow patients to understand that a hospital cares about not just their bottom line, but most importantly, their health. In hospitals, ACOs may be implemented by C-level execs and medical directors...but from the patient perspective, accountable care is delivered through the face of the care [INVALID] the physician. Therefore the physician must represent the ACO movement in a positive light in order for them to be integrated and successful. Many physicians are not yet on board with all ACO models, so providers implementing the models will have to first realize that they need their physicians to be in agreement that this will benefit their patient community. I saw a great video from OptumInsight that explains the importance of physicians being on board with ACOs:


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