Accountable Care Organizations: Value Metrics and Capital Formation

Robert James Cimasi

June 5, 2013 by Productivity Press
Reference - 377 Pages - 28 B/W Illustrations
ISBN 9781466581838 - CAT# K18902

USD$94.95

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Features

  • Outlines 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
  • 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
  • Addresses the value metrics of ACOs, including requirement for capital formation, financial feasibility, and economic returns
  • Examines the positive externalities of the ACO model, including results for third parties outside the basic construct of the ACO contracts shared savings payments
  • Includes a foreword by Peter A. Pavarini, Esq.
  • Presents a brief discussion of the potential role and opportunities for consultants in assisting their provider clients in the consideration, development, implementation, and operation of an ACO

Summary

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.