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Health Aff (Millwood). 2010 May;29(5):982-90. doi: 10.1377/hlthaff.2010.0194.

A national strategy to put accountable care into practice.

Author information

1
Engelberg Center for Health Care Reform, Brookings Institution, Washington, DC, USA. mmcclellan@brookings.edu

Abstract

The concept of accountable care organizations (ACOs) has been set forth in recently enacted national health reform legislation as a strategy to address current shortcomings in the U.S. health care system. This paper focuses on implementation issues related to these organizations, building on some initial examples. We seek to clarify definitions and key principles, provide an update on implementation in the context of other reforms, and address emerging issues that will affect the organizations' success. Finally, building on the initial experience of several organizations that are implementing accountable care and complementary reforms, we propose a national strategy to identify and expand successful approaches to accountable care implementation.

PMID:
20439895
DOI:
10.1377/hlthaff.2010.0194
[Indexed for MEDLINE]

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