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Accountable care organizations have potential to curb costs and improve health care
Date:4/13/2011

lignment to Provide Appropriate and Consistent Incentives: CMS should work with providers and payers to develop multi-payer arrangements to simplify administrative processes and align incentives for high performance.
  • Payment that Reinforces and Rewards High Performance: Calculation of savings should be set to appropriately reward ACOs that achieve savings and high performance and made in a timely manner to encourage positive outcomes, with upfront support available to organizations that show promise of success but face certain circumstances that require such support.
  • Innovative Payment Methods and Organizational Models: CMS should be prepared to apply different payment approaches as appropriate for different organizational models operating in different areas and circumstances, contingent on achieving performance benchmarks.
  • Balanced Physician Compensation Incentives: ACO compensation of clinicians should include incentives to provide evidence-based care and ensure that appropriate care is not withheld.
  • Timely Monitoring, Data Feedback, and Technical Support for Improvement: CMS and other payers should provide baseline data to ACOs, track their performance, disseminate information on alternative payment and delivery models, and provide technical assistance to support and spread effective approaches, with a maximum of transparency and a minimum of administrative complexity.

    An accompanying perspective piece from Commonwealth Fund researchers Mark A. Zezza and Stuart Guterman reviews the rules CMS recently released for ACOs and uses the Commission's framework to identify issues for CMS to consider in finalizing the rules. Zezza and Guterman recommend that CMS:

    • Investigate ways to get shared savings as quickly as possible to ACOs that perform well on quality and cost.
    • Work with ACOs to assure they have the most timely data available and facilitate access to the technical support ACOs may need to be
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    Contact: Mary Mahon
    mm@cmwf.org
    212-606-3853
    Commonwealth Fund
    Source:Eurekalert

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