This document summarizes Accountable Care Organizations (ACOs) and discusses their rise. It notes that ACOs are provider-led organizations held accountable for cost and quality targets. ACOs offer an alternative to fee-for-service and can use varying payment models and degrees of provider risk. The document also cites factors driving the renewed focus on ACOs, like rising healthcare costs and evidence of cost variation. Finally, it outlines challenges and next steps for ACOs, such as leadership commitment, population size, and IT integration.

1. Accountable Care Organizations“Shifting Gears”Presented by Jeff SquierExecutive Director NEWHVN

2. What is an “ACO”?(Accountable Care Organization)Provider-led organizations held accountable for cost and quality targets for a defined population

3. An alternative to the current fee-for-service payment system included in the Health Reform law

4. Can use different payment models and varying degrees of provider risk“Why Now?” and What is DifferentWhy is integration and Risk Contracting Back on the Table? “Great Recession”

5. Return of health care cost inflation

6. New evidence – perverse cost/variation/quality relationship

7. Patient Protection and Accountable Care Act What is Different This Time Around?1990sTodayPrimary care capitation

8. Solo, small group physicians

9. No system of Care visibility

10. Clinton reform failed

11. Killed by an economic boom

12. Insurer-led HMOs