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Why are ACOs doomed for failure?
J Med Pract Manage. 2012 Mar-Apr; 27(5):263-7.JM

Abstract

Among the more ambitious parts of the Patient Protection and Affordable Care Act (2010) is the formation of Accountable Care Organizations (ACOs) that offer fiscal rewards when well-organized, integrated hospital-physician groups can improve quality of care and reduce the cost of Medicare expenditures. After studying the conceptual and operational issues, it is concluded herein that ACOs are in the long-haul doomed for failure since: 1) most hospitals and physicians have major difficulties in consummating tightly coordinated collaborative efforts; 2) providers historically have had a dismal track record in reducing cost, because of existing fee-for-service incentives; and 3) existing regulations do not provide sufficient fiscal rewards to assume the cost of starting an ACO and its possible operational risks.

Authors+Show Affiliations

Weil TP
tpweil@aol.com

MeSH

Accountable Care OrganizationsCenters for Medicare and Medicaid Services, U.S.Efficiency, OrganizationalHospital-Physician RelationsPatient Protection and Affordable Care ActQuality Assurance, Health CareUnited States

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22594055

Citation

Weil, Thomas P.. "Why Are ACOs Doomed for Failure?" The Journal of Medical Practice Management : MPM, vol. 27, no. 5, 2012, pp. 263-7.
Weil TP. Why are ACOs doomed for failure? J Med Pract Manage. 2012;27(5):263-7.
Weil, T. P. (2012). Why are ACOs doomed for failure? The Journal of Medical Practice Management : MPM, 27(5), 263-7.
Weil TP. Why Are ACOs Doomed for Failure. J Med Pract Manage. 2012 Mar-Apr;27(5):263-7. PubMed PMID: 22594055.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Why are ACOs doomed for failure? A1 - Weil,Thomas P, PY - 2012/5/19/entrez PY - 2012/5/19/pubmed PY - 2012/7/4/medline SP - 263 EP - 7 JF - The Journal of medical practice management : MPM JO - J Med Pract Manage VL - 27 IS - 5 N2 - Among the more ambitious parts of the Patient Protection and Affordable Care Act (2010) is the formation of Accountable Care Organizations (ACOs) that offer fiscal rewards when well-organized, integrated hospital-physician groups can improve quality of care and reduce the cost of Medicare expenditures. After studying the conceptual and operational issues, it is concluded herein that ACOs are in the long-haul doomed for failure since: 1) most hospitals and physicians have major difficulties in consummating tightly coordinated collaborative efforts; 2) providers historically have had a dismal track record in reducing cost, because of existing fee-for-service incentives; and 3) existing regulations do not provide sufficient fiscal rewards to assume the cost of starting an ACO and its possible operational risks. SN - 8755-0229 UR - https://www.unboundmedicine.com/medline/citation/22594055/Why_are_ACOs_doomed_for_failure DB - PRIME DP - Unbound Medicine ER -