Former ACC Presidents Jim Dove, M.D., M.A.C.C., and Doug Weaver, M.D., M.A.C.C., and I recently co-authored a piece for Cardiovascular Business magazine on a hot topic in health care reform: accountable care organizations (ACOs). We write:
The problem, however, is that outside already established
integrated systems, government regulations have made it difficult or
even illegal for practices and hospitals to coordinate care and
quality. Since most of the care is delivered by small groups of
physicians that are not connected, the challenge is to allow trials of
ACOs that are not legal large partnerships or entities.
complicated, and the ACC believes clinicians, patients and payors
should have input about the design and function of this new structure.
The ACC, for example, believes an ACO should reward providers for
reducing unnecessary and discretionary services but not denying
necessary care. ACO members also should not be at risk for costs they
For today's Friday Poll, I want to know what you think about ACOs and their role in delivery system reform.