Moore Keith D, Coddington Dean C
McManis Consulting, Greenwood Village, Colo, USA.
Healthc Financ Manage. 2010 Aug;64(8):57-63.
In healthcare reform legislation, the concept of accountable care organizations (ACOs) has been deliberately broad. Providers' efforts to develop ACOs are likely to proceed on different paths and at different paces in various parts of the country, and some organizations will move faster than others. In deciding which approach to use, a provider should choose a target market, a service area, and a reimbursement methodology; identify the provider structure; design, develop, enhance, and modify core support elements; and identify patient-related and organizational strategies for improvement.
在医疗改革立法中，责任医疗组织（ACO）的概念有意界定得很宽泛。全国各地的医疗服务提供者发展责任医疗组织的努力可能会沿着不同的路径、以不同的速度推进，而且一些组织会比其他组织进展得更快。在决定采用哪种方法时，医疗服务提供者应选择目标市场、服务区域和报销方法；确定医疗服务提供者结构；设计、开发、增强和修改核心支持要素；并确定与患者相关的以及组织层面的改进策略。
