Stenson John, Thompson Michael
Benefits Q. 2013;29(4):8-13.
If the potential of accountable care organizations (ACOs) is realized, they could significantly transform how health care is delivered and financed, bringing the promise of high-quality affordable health care within reach. This article explores the root causes that have handicapped the value in the health care delivery system historically and the critical requirements to overcome those issues. The authors describe how commercial and Medicare ACOs attempt to address those issues, the potential land mines in the transition to a new paradigm and the principles plan sponsors should consider in understanding and integrating ACOs into their health care benefits strategy.
如果 accountable care organizations(ACOs,负责医疗组织)的潜力得以实现,它们可能会显著改变医疗服务的提供和融资方式,使高质量且可负担的医疗保健有望实现。本文探讨了历史上阻碍医疗服务提供系统价值发挥的根本原因以及克服这些问题的关键要求。作者描述了商业性和医疗保险 ACOs 如何试图解决这些问题、向新范式转变过程中的潜在雷区以及计划主办方在理解 ACOs 并将其纳入医疗福利战略时应考虑的原则。