First National Survey Of ACOs Finds That Physicians Are Playing Strong Leadership And Ownership Roles
- 1 June 2014
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 33 (6), 964-971
- https://doi.org/10.1377/hlthaff.2013.1463
Abstract
The extent to which physicians lead, own, and govern accountable care organizations (ACOs) is unknown. However, physicians’ involvement in ACOs will influence how clinicians and patients perceive the ACO model, how effective these organizations are at improving quality and costs, and how future ACOs will be organized. From October 2012 to May 2013 we fielded the National Survey of Accountable Care Organizations, the first such survey of public and private ACOs. We found that 51 percent of ACOs were physician-led, with another 33 percent jointly led by physicians and hospitals. In 78 percent of ACOs, physicians constituted a majority of the governing board, and physicians owned 40 percent of ACOs. The broad reach of physician leadership has important implications for the future evolution of ACOs. It seems likely that the challenge of fundamentally changing care delivery as the country moves away from fee-for-service payment will not be accomplished without strong, effective leadership from physicians.Keywords
This publication has 27 references indexed in Scilit:
- Spending Differences Associated With the Medicare Physician Group Practice DemonstrationJama-Journal Of The American Medical Association, 2012
- The Promise And Peril Of Accountable Care For Vulnerable Populations: A Framework For Overcoming ObstaclesHealth Affairs, 2012
- The Accountable Care Organization: Whatever Its Growing Pains, The Concept Is Too Vitally Important To FailHealth Affairs, 2011
- Leadership in Creating Accountable Care OrganizationsJournal of General Internal Medicine, 2011
- Launching Accountable Care Organizations — The Proposed Rule for the Medicare Shared Savings ProgramNew England Journal of Medicine, 2011
- Physicians, the Affordable Care Act, and Primary Care: Disruptive Change or Business as Usual?Journal of General Internal Medicine, 2011
- Physicians versus Hospitals as Leaders of Accountable Care OrganizationsNew England Journal of Medicine, 2010
- How The Center For Medicare And Medicaid Innovation Should Test Accountable Care OrganizationsHealth Affairs, 2010
- The Group Health Medical Home At Year Two: Cost Savings, Higher Patient Satisfaction, And Less Burnout For ProvidersHealth Affairs, 2010
- Diffusion of Innovations in Service Organizations: Systematic Review and RecommendationsThe Milbank Quarterly, 2004