Moving forward with ACOs: Some Answers; More Questions
The publisher's final edited version of this article is available at JAMA Intern Med
Our health care system is moving from traditional fee-for-service payment to value-based alternative payment models such as Accountable Care Organizations (ACOs) and bundled payment programs. With passage of the Medicare Access and CHIP Reauthorization Act (MACRA), Congress has made clear its intention to accelerate this transition. Because there is strong bipartisan support for these market-based approaches to improving health system performance, it is an opportune time to reflect on what we know about the impact ACOs and payment reforms have had on clinical care, challenges that have been identified, and to consider what might be done to enable payment and delivery system reform that improves the value and quality of care.
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