| Why are ACOs doomed for failure? | |
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MedLine Citation:
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PMID: 22594055 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Among the more ambitious parts of the Patient Protection and Affordable Care Act (2010) is the formation of Accountable Care Organizations (ACOs) that offer fiscal rewards when well-organized, integrated hospital-physician groups can improve quality of care and reduce the cost of Medicare expenditures. After studying the conceptual and operational issues, it is concluded herein that ACOs are in the long-haul doomed for failure since: 1) most hospitals and physicians have major difficulties in consummating tightly coordinated collaborative efforts; 2) providers historically have had a dismal track record in reducing cost, because of existing fee-for-service incentives; and 3) existing regulations do not provide sufficient fiscal rewards to assume the cost of starting an ACO and its possible operational risks. |
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Authors:
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Thomas P Weil |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of medical practice management : MPM Volume: 27 ISSN: 8755-0229 ISO Abbreviation: J Med Pract Manage Publication Date: 2012 Mar-Apr |
Date Detail:
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Created Date: 2012-05-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8605494 Medline TA: J Med Pract Manage Country: United States |
Other Details:
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Languages: eng Pagination: 263-7 Citation Subset: T |
Affiliation:
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tpweil@aol.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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