Thursday, August 4, 2011

ACOs Beyond Payers and Providers

Accountable Care Organizations (ACOs) don't just represent new business opportunities for payers and providers. Diverse stakeholders from pharmaceutical companies to employers could realize significant business gains in forming targeted partnerships, according a recent Lyceum newsletter article.

"[T]he opportunity is significant for new entrants willing to provide the capital, organization, governance, and leadership to create new relationships with physicians that could dramatically change the health care landscape."

The fact is, most physician practices can't organize themselves into ACOs alone, due to limited resources. They want to realize an ACO's business and clinical control, but fear that partnerships with health plans and hospitals would compromise that control.

As defined in the Medicare Shared Savings Program, ACOs could feature a range of stakeholders as the principle organizer—not just deep-pocketed payers and providers. Such structures could channel substantial benefits to all parties.

Read "Help Wanted: ACO Leadership" here.

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