The march to accountable care organizations-how will rural fare?
© 2010 National Rural Health Association..
PURPOSE: This article describes a strategy for rural providers, communities, and policy makers to support or establish accountable care organizations (ACOs).
METHODS: ACOs represent a new health care delivery and provider payment system designed to improve clinical quality and control costs. The Patient Protection and Affordable Care Act (ACA) makes contracts with ACOs a permanent option under Medicare. This article explores ACA implications, using the literature to describe successful integrated health care organizations that will likely become the first ACOs. Previous research studying rural managed care organizations found rural success stories that can inform the ACO discussion.
FINDINGS: Preconditions for success as ACOs include enrolling a minimum number of patients to manage financial risk and implementing medical care policies and programs to improve quality. Rural managed care organizations succeeded because of care management experience, nonprofit status, and strong local leadership focused on improving the health of the population served.
CONCLUSIONS: Rural provider participation in ACOs will require collaboration among rural providers and with larger, often urban, health care systems. Rural providers should strengthen their negotiation capacities by developing rural provider networks, understanding large health system motivations, and adopting best practices in clinical management. Rural communities should generate programs that motivate their populations to achieve and maintain optimum health status. Policy makers should develop rural-relevant ACO-performance measures and provide necessary technical assistance to rural providers and organizations.
| Errataetall: |
CommentIn: J Rural Health. 2011 Winter;27(1):138-9. - PMID 21204981 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2011 |
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| Erschienen: |
2011 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:27 |
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| Enthalten in: |
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association - 27(2011), 1 vom: 19., Seite 131-7 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mackinney, A Clinton [VerfasserIn] |
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| Anmerkungen: |
Date Completed 14.04.2011 Date Revised 22.12.2022 published: Print-Electronic CommentIn: J Rural Health. 2011 Winter;27(1):138-9. - PMID 21204981 Citation Status MEDLINE |
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| doi: |
10.1111/j.1748-0361.2010.00350.x |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM204786290 |
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| 500 | |a CommentIn: J Rural Health. 2011 Winter;27(1):138-9. - PMID 21204981 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2010 National Rural Health Association. | ||
| 520 | |a PURPOSE: This article describes a strategy for rural providers, communities, and policy makers to support or establish accountable care organizations (ACOs) | ||
| 520 | |a METHODS: ACOs represent a new health care delivery and provider payment system designed to improve clinical quality and control costs. The Patient Protection and Affordable Care Act (ACA) makes contracts with ACOs a permanent option under Medicare. This article explores ACA implications, using the literature to describe successful integrated health care organizations that will likely become the first ACOs. Previous research studying rural managed care organizations found rural success stories that can inform the ACO discussion | ||
| 520 | |a FINDINGS: Preconditions for success as ACOs include enrolling a minimum number of patients to manage financial risk and implementing medical care policies and programs to improve quality. Rural managed care organizations succeeded because of care management experience, nonprofit status, and strong local leadership focused on improving the health of the population served | ||
| 520 | |a CONCLUSIONS: Rural provider participation in ACOs will require collaboration among rural providers and with larger, often urban, health care systems. Rural providers should strengthen their negotiation capacities by developing rural provider networks, understanding large health system motivations, and adopting best practices in clinical management. Rural communities should generate programs that motivate their populations to achieve and maintain optimum health status. Policy makers should develop rural-relevant ACO-performance measures and provide necessary technical assistance to rural providers and organizations | ||
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