An accountable care organization (ACO) is a healthcare
organization characterized by a payment and care delivery model
that seeks to tie provider reimbursements to quality metrics and
reductions in the total cost of care for an assigned group of
patients. Accountable Care Organizations: Value Metrics and Capital
Formation explores the historical background and evolution of the
ACO model as the basis for the development of the value metrics and
capital formation analyses that are foundational to assessing the
current efficacy and capacity for change.
The book examines the four pillars of value in the healthcare
industry: regulatory, reimbursement, competition, and technology in
addressing the value metrics of ACOs, including requirements for
capital formation, financial feasibility, and economic returns. It
focuses the discussion of non-monetary value on a review of aspects
of population health within the context of such objectives as
improved quality outcomes and access to care.
- Explains why ACOs might be the cost-containment and quality
improvement answer the industry has been looking for
- Describes the circumstances and capital structures where ACOs
represent a sound investment
- Includes a foreword by Peter A. Pavarini, Esq.
The book examines the positive externalities of the ACO model,
including results for third parties outside the basic construct of
the ACO contracts shared savings payments. It also discusses the
potential role and opportunities for consultants in assisting their
provider clients in the consideration, development, implementation,
and operation of an ACO.
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