the greatest challenge to ACO success is the misunderstandings created by the language we use. Baselining is a critical step to ensuring that both providers and payers are pulling in the same direction:
• What are the provider's patient population(s)?
• What criteria are we using to measure quality?
• What does “cost” mean? What is included in a service "cost”?
Once baselines are established, it’s critical that both providers and payers are monitoring these metrics regularly, so when gaps appear – which they will – adjustments can be made.