Accountable Care as a Health Reform Tool in Oregon and Massachusetts
UMass Chan AffiliationsCommonwealth Medicine, Center for Health Law and Economics
health care reform
Health Law and Policy
Health Services Administration
Health Services Research
MetadataShow full item record
AbstractOver the past few years, Oregon and Massachusetts both established accountable care programs to help improve health care quality and reduce costs. However, some analysts remain skeptical regarding the ability of Accountable Care Organizations (ACOs) or other accountable care entities to rein in costs. Oregon and Massachusetts provide a laboratory for evaluating whether ACOs deliver the outcomes desired, which is especially important as millions of Americans gain access to health insurance under the Affordable Care Act (ACA) next year. This analysis examines each state’s approach. As the nation grapples with health care policy challenges, accountable care emerged as a possible tool to give providers more responsibility for health care quality and cost. In ACOs, groups of providers come together to give coordinated, high quality care to their patient population. ACO participating providers may be paid in a variety of different ways, including fee-for-service, global payments, quality incentives, and shared savings. This is a member briefing, American Health Lawyers Association, Accountable Care Organization Task Force.
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/27075
NotesClient/Partner: American Health Lawyers' Association
RightsCopyright 2013, American Health Lawyers Association, Washington, DC. Reprint permission granted.
Showing items related by title, author, creator and subject.
Policy Brief: Addressing Social Determinants of Health through Community Health Workers: A Call to ActionLondon, Katharine; Damio, Grace; Ferrazo, Meredith; Perez-Escamalla, Rafael; Wiggins, Noelle (2018-01-30)This technical report was compiled by the Hispanic Health Council in partnership with Southwestern AHEC and a panel of Community Health Worker Policy Research Experts which included our Katharine London from the Center for Health Law and Economics. The report offers a number of policy recommendations for community health workers for communities that might benefit from community-based services. The report offers recommendations on; payment of community health workers; community health worker caseloads; community health worker recruitment; community health worker training; reflective and trauma-informed mentoring and supportive supervision of community health workers; integration of community health workers into care teams; documenting the effect of community heal worker services on social determination of health. The Hispanic Health Council believes a service design that effectively supports community health workers would incorporate the seven areas of policy recommendation included in this report.
A Public Health Framework for the State Mental Health Authority: A Call for Action by Massachusetts Consumers and Family MembersDelman, Jonathan (2006-01-01)During the Spring of 2006, Consumer Quality Initiatives (CQI) conducted 20 focus groups across the state, 12 with adults with mental illness, 3 with parents of youth with serious emotional disorder, 2 with youth with SED, 1 with family members of adult consumers, and 2 with youth in transition. Supported by a contract with Massachusetts Department of Mental Health (DMH), the goal was to assist DMH in framing the criteria for its upcoming reprocurement. Our findings reveal a frustration with an approach to health care delivery that focuses primarily on the provision of psychiatric care (egs, medication, therapy, hospitalization). We reviewed the focus group reports to identify the most significant themes, which clustered within eight broad categories.
Making the Case for Sustainable Funding for Community Health Worker Services: Talking to Payers and ProvidersLondon, Katharine (2018-01-27)In this presentation, Katharine London of the Center for Health Law and Economics makes her case for offering sustainable funding for community health worker services. Research has shown community health workers can have a distinct impact on health systems, helping them improve population health and contain costs, while also promoting health equity and community engagement. This presentation was designed to assist CHWs and other advocates in engaging with policymakers and payers to support CHW sustainability and develop a financial plan for their CHW work. It was presented as part of a CHW Sustainability event held at the Families USA’s annual conference, Health Action 2018: Staying Strong for America’s Families, in Washington, DC. See Katharine London's blog post on payment delivery methods for community health workers here.