Engagement of Accountable Care Organizations in Acute Care Redesign: Results of a National Survey
Accountable Care Organizations (ACOs) are integrated provider groups aiming to improve health care value for a population. Hospitalizations account for ~ 32% of US health care expenditures, and ED visits account for up to 6%; therefore, one strategy to improve value is to manage the acute care needs of the population in lower cost settings.1 To date, most cost-reduction efforts have focused on improving chronic disease management, for example, through medication management and decreasing readmissions.2
We aim to describe how ACOs are prioritizing cost-reduction strategies related to acute unscheduled care using responses from a national survey of ACOs.
KEY WORDShealth services accountable care healthcare Reform
We would like to acknowledge Kerstin Edwards, MPA, Research Manager at Leavitt Partners and Teresa Litton, MPH, Senior Policy Advisor at the National Association of ACOs, for their contributions to this work.
This project was funded by a Health Policy Research grant from the Emergency Medicine Foundation (Schuur, Lin). An abstract was presented at ACEP Scientific Assembly, Washington, DC, October 30, 2017.
Compliance with Ethical Standards
Conflict of Interest
Mr. Muhlestein is an employee of the for-profit Leavitt Partners, LLC. Dr. Carr serves as Director of the Emergency Care Coordination Center in the US Department of Health and Human Services; the views expressed here do not necessarily represent those of the government. He has also received payment for legal consulting from BGC. Dr. Wiler has received royalty payments from AgileMD and CareThrough. Dr. Schuur has received compensation for his work on the Scientific Advisory Board for UnitedHealth. All remaining authors declare that they do not have a conflict of interest.
- 2.deLisle K, Litton T, Brennan A, Muhlestein D. The 2017 ACO Survey: What Do Current Trends Tell Us About The Future Of Accountable Care? Health Affairs Blog. October 4, 2017. Available at: https://www.healthaffairs.org/do/10.1377/hblog20171021.165999/full/ Accessed on 17 Apr 2018.
- 6.Levinson, Daniel R. Office of the Inspector General. Medicare Shared Saving Program Accountable Care Organizations Have Shown Potential for Reducing Spending and Improving Quality. Department of Health and Human Services. OEI-02-15-00450 August, 2017. Available at: https://oig.hhs.gov/oei/reports/oei-02-15-00450.asp Accessed on 17 Apr 2018.