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Studies on accountable care organizations
Accountable care organizations (acos) essay
Studies on accountable care organizations
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Understanding Accountable Healthcare Organization role in the Healthcare Reform System
Song, Z., & Lee, T. (2013). The ear of delivery of system reform begins. Journal of American Medical Association, 309(1), 35-6.
In this article the authors explain how health care reform is evolving through a three-step system; insurance (affordable are act), payment (accountable care organization), and physician reform. The elaborate on the idea that in order for ACOs to be successful it must be physicians led to generate and foster lower cost and increase quality health care. The authors offer a unique and controversial perspective in that may aid in the success of ACOs. Dr. Lee is a practicing cardiologist and a professor of Medicine at Harvard Medical School and Professor of Health Policy and Management at the Harvard School of Public Health. His past research platforms has consisted of research that looks at doctor as leaders of ACOs. Song, has a PHD in Health Policy and currently pursuing a degree in medicine at Harvard Medical School. This article is written for physicians by physicians to stimulate to reassert their position in healthcare reform. This article supports my topic and gives the reader a different perspective of conceptualizing ACOs.
Fisher, E., Shrotell, S. (2010). Accountable care organization- Accountable care for what, whom, and how. Journal of American Medical Association, 304(15), 1715-6.
In this article the authors briefly states the overall goals of ACOs, it attempts to identify whom ACOs are intended for, and give suggestion of how ACOs can obtain the stated goals in order to be successful in slowing the spending of health care growth. Dr. Fisher is a professor of Medicine at Dartmouth Insti...
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...alth care policy from Harvard Medical School and the National Bureau of Economic Research in Massachusetts, assessed how organizations may incur financial risk and gains by joining an ACO. This revaluation was based upon the facts that ACOs uses CMS national growth factor to set forth healthcare spending limits as opposed to using local growth rate of specific geographical location. Overall, the article is confusing and hard to follow, as well as the table of statistical data provided in the examples. The article is intended for physician organization groups. This article assess ACO from a number perspective which is another was to view pro and con of a ACO but does not help the reader to understand the general inner working of ACOs. Though the articles do not support my topic it provides the reader with real data to see how much ad lost and gained in an ACO.
It is enthralling to note that in spite of the advances in healthcare systems, such as our hospital’s ability to provide patients with lower cost, managed One being the Health Maintenance Organizations (HMO), which was first proposed in the 1960s by Dr. Paul Elwood in the "Health Maintenance Strategy”. The HMO concept was created to decrease increasing health care costs and was set in law as the Health Maintenance Organization Act of 1973, after promotion from the Nixon Administration. HMO would, in exchange for a fee, allow members access to employed physicians and facilities. In return, the HMO received market access and could earn federal development funds.
For the last five years of my life I have worked in the healthcare industry. One of the biggest issues plaguing our nation today has been the ever rising cost of health care. If we don't get costs under control, we risk losing the entire system, as well as potentially crippling our economy. For the sake of our future, we must find a way to lower the cost of health care in this nation.
Health Maintenance Organizations, or HMO’s, are a very important part of the American health care system. Also referred to as managed care programs, HMO's are combinations of doctors and insurance companies that are formed into one organization. This organization provides treatment to its members at fixed costs and decides on what treatment, if any, will be given based on the patient's or doctor's current health plan. Sometimes, no treatment is given at all. HMO's main concerns are to control costs and supposedly provide the best possible treatment to their patients. But it seems to the naked eye that instead their main goal is to get more people enrolled so that they can maintain or raise current premiums paid by consumers using their service. For HMO's, profit comes first- not patients' lives.
The current health care reimbursement system in the United State is not cost effective, and politicians, along with insurance companies, are searching for a new reimbursement model. A new health care arrangement, value based health care, seems to be gaining momentum with help from the biggest piece of health care legislation within the last decade; the Affordable Care Act is pushing the health care system to adopt this arrangement. However, the community of health care providers is attempting to slow the momentum of the value based health care, because they wish to maintain their autonomy under the current fee-for-service reimbursement system (FFS).
One overarching critical question about health care is, “What should the government plan to achieve in the American health care system?” This complex question seems to require a complex answer according to a few individuals. Out of respect of the issue, perhaps determining personal feelings about the Patient Protection and Accordable Care Act, may lead to a further understanding. Many combinations in health care in general vary throughout the globe. One thing however is certain, and this the established minimal and maximum roles that can be played by both federal and state government (Tang, & Eisenberg, 2014).
Overall, the increase within health care costs is effecting our nation significantly. Not only does it affect consumers but also organization. As it continues to increase everyone is finding themselves unable to pay for such changes. Reducing such growth within the health care costs requires a collaborative, inclusive, and dual-party approach. Strategies for reducing the costs include but not limited to: promoting prevention and healthy living, improving patient safety, and promoting transparency on medical costs and quality. If the nation works on such improvements, hopefully we will be able to turn the health care system into something we can all afford once again.
Shi, L., & Singh, D.A. (2008). Delivering healthcare in america. Sudbury: Jones & Bartlett Publishers.
It is no secret that the current healthcare reform is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify ways to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal.” (Bailey, Jones & Way, 2006, p. 381).
Shi, L., & Singh, D. (2012). Delivering health care in America: a system approach. Burlington: Jones & Bartlett Learning, LLC.
Berman, M. L. (2011). From Health Care Reform to Public Health Reform. Journal of Law, Medicine & Ethics, 39(3), 328-339. doi:10.1111/j.1748-720X.2011.00603.x
Van Der Weyden, M. B. (2006) It’s Time for Change and Resolve. Medical Journal. Retrieved on March 29th, 2011 from http://www.mja.com.au/public/issues/187_11_031207/van11312_fm.html.
As I began watching Reinventing Healthcare-A Fred Friendly Seminar (2008), I thought to myself, “man, things have changed since 2008.” And as the discussion progressed, I started to become irritated by how little had changed. The issues discussed were far-reaching, and the necessity for urgent change was a repeated theme. And yet, eight years later, health care has made changes, but many of its crucial problems still exist.
Sultz, H., & Young, K. (2014). Health Care USA: Understanding Its Organization and Delivery (8th Ed.). Burlington, MA: Jones & Bartlett Learning.
According to Roy, 2013 the issues of providing the affordable care act will unite both the supporters and offenders of the public policy, but in this current situation where the input costs are rising, it will become impossible for government in managing the public policy related to affordable health care. In order to provide affordable health care, majority of the US government has tried out different policies time to time, but unable to get success in realizing the actual policy goals. By providing the affordable health care to majority of the people who requires more amount as controlling the input cost is not possible (AAMC, 2013). Lack of doctors is one of the primary issue in providing high quality health care to the citizens especially those who are financially poor. The Supreme Court of the country passed an Act related to Health insurance as all should have Health Insurance to all the country people by the year 2014, but the at the same time government is concerned about constitutionality of these act (NYTimes, 2013).
The cost of US health care has been steadily increasing for many years causing many Americans to face difficult choices between health care and other priorities in their lives. Health economists are bringing to light the tradeoffs which must be considered in every healthcare decision (Getzen, 2013, p. 427). Therefore, efforts must be made to incite change which constrains the cost of health care without creating adverse health consequences. As the medical field becomes more business oriented, there will be more of a shift in focus toward the costs and benefits, which will make medicine more like the rest of the economy (Getzen, 2013, p. 439).