Nugent Michael E
Navigant Consulting Inc., Chicago, Illinois, USA.
Healthc Financ Manage. 2010 Oct;64(10):38-42.
Several organizations have begun to design and even implement accountable care organization (ACO), payment reform, and risk sharing pilots. Here are some early lessons: Providers should not design and implement ACOs, payment pilots, and risk models in a vacuum. Providers should tackle five core decision areas that underlie all ACOs, payment pilots, and risk arrangements. Providers should invest in analytics to inform tactical and strategic decisions simultaneously. Successful organizations implement pilot programs before going into full production mode.
几家机构已经开始设计甚至实施 accountable care organization（ACO）、支付改革和风险分担试点项目。以下是一些早期经验教训：医疗服务提供者不应在真空中设计和实施ACO、支付试点项目及风险模型。医疗服务提供者应处理构成所有ACO、支付试点项目和风险安排基础的五个核心决策领域。医疗服务提供者应投资于分析，以便同时为战术和战略决策提供依据。成功的机构在全面投入生产模式之前会先实施试点项目。
