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How the center for Medicare and Medicaid innovation should test accountable care organizations.
Health Aff (Millwood). 2010 Jul; 29(7):1293-8.HA

Abstract

The Patient Protection and Affordable Care Act establishes a national voluntary program for accountable care organizations (ACOs) by January 2012 under the auspices of the Centers for Medicare and Medicaid Services (CMS). The act also creates a Center for Medicare and Medicaid Innovation in the CMS. We propose that the CMS allow flexibility and tiers in ACOs based on their specific circumstances, such as the degree to which they are or are not fully integrated systems. Further, we propose that the CMS assume responsibility for ACO provisions and develop an ordered system for learning how to create and sustain ACOs. Key steps would include setting specific performance goals, developing skills and tools that facilitate change, establishing measurement and accountability mechanisms, and supporting leadership development.

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Authors+Show Affiliations

Shortell SM
Blue Cross of California, and School of Public Health, University of California, Berkeley, USA.
Casalino LP
No affiliation info available
Fisher ES
No affiliation info available

MeSH

Accountable Care OrganizationsCenters for Medicare and Medicaid Services, U.S.Delivery of Health Care, IntegratedHumansMedicaidMedicareOrganizational InnovationPatient Protection and Affordable Care ActQuality Assurance, Health CareUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20606176

Citation

Shortell, Stephen M., et al. "How the Center for Medicare and Medicaid Innovation Should Test Accountable Care Organizations." Health Affairs (Project Hope), vol. 29, no. 7, 2010, pp. 1293-8.
Shortell SM, Casalino LP, Fisher ES. How the center for Medicare and Medicaid innovation should test accountable care organizations. Health Aff (Millwood). 2010;29(7):1293-8.
Shortell, S. M., Casalino, L. P., & Fisher, E. S. (2010). How the center for Medicare and Medicaid innovation should test accountable care organizations. Health Affairs (Project Hope), 29(7), 1293-8. https://doi.org/10.1377/hlthaff.2010.0453
Shortell SM, Casalino LP, Fisher ES. How the Center for Medicare and Medicaid Innovation Should Test Accountable Care Organizations. Health Aff (Millwood). 2010;29(7):1293-8. PubMed PMID: 20606176.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How the center for Medicare and Medicaid innovation should test accountable care organizations. AU - Shortell,Stephen M, AU - Casalino,Lawrence P, AU - Fisher,Elliott S, PY - 2010/7/8/entrez PY - 2010/7/8/pubmed PY - 2012/5/29/medline SP - 1293 EP - 8 JF - Health affairs (Project Hope) JO - Health Aff (Millwood) VL - 29 IS - 7 N2 - The Patient Protection and Affordable Care Act establishes a national voluntary program for accountable care organizations (ACOs) by January 2012 under the auspices of the Centers for Medicare and Medicaid Services (CMS). The act also creates a Center for Medicare and Medicaid Innovation in the CMS. We propose that the CMS allow flexibility and tiers in ACOs based on their specific circumstances, such as the degree to which they are or are not fully integrated systems. Further, we propose that the CMS assume responsibility for ACO provisions and develop an ordered system for learning how to create and sustain ACOs. Key steps would include setting specific performance goals, developing skills and tools that facilitate change, establishing measurement and accountability mechanisms, and supporting leadership development. SN - 1544-5208 UR - https://www.unboundmedicine.com/medline/citation/20606176/How_the_center_for_Medicare_and_Medicaid_innovation_should_test_accountable_care_organizations_ L2 - https://www.healthaffairs.org/doi/10.1377/hlthaff.2010.0453?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -