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Good news for California ACO’s

 

An analysis  by the Berkeley Healthcare Forum group in the School of Public Health at the University of California, Berkeley, shows that Accountable Care Organizations in California are growing in size and number and improving care quality.  The Golden State has 67 ACO’s — more than any other state.

The study suggests that ACO’s are moving toward achieving the goal of 60 percent of the California population receiving integrated care by 2022.

The report is called “A New Vision for California’s Healthcare System.”

Based on the Integrated Healthcare Association’s (IHA) quality measures, groups that also have ACO contracts have  similar scores for treatment of heart disease and asthma, and better scores for cancer, diabetes, pediatric care, and chlamydia  than other medical  organizations in the state (excluding the special case of fully integrated Kaiser Permanente) and higher patient- experience score measures.

 

 

 

 

 

 

 

 


Reinhardt’s plan for changing physician-management model

* Develop ”five-year plans on the premise that the traditional, cost-plus reimbursement model will persist for very long is a bad idea. It probably won’t.”

* Consider ”the upfront losses {they} take on newly employed physicians as just another investment in the long-term future of your enterprise.”

* Don’t ”treat physicians as regular employees. Work to avoid their resentment against too distant and too opulent a C-suite. Instead, … make physicians feel part of the management team that jointly makes or breaks your enterprise. That includes regularly sharing managerial and financial data on your enterprise.”

* Consider “a workable alternative to employing physicians—e.g., the Kaiser Permanente model, the mother of all ACO’s.”

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