The Promise And Peril Of Accountable Care For Vulnerable Populations: A Framework For Overcoming Obstacles
Accountable care organizations (ACOs) are a promising payment model aimed at reducing costs while also improving the quality of care. However, there is a risk that vulnerable populations may not be fully incorporated into this new model. The authors define two distinct vulnerable populations, clinically at-risk and socially disadvantaged and discuss how ACOs may benefit each group. The authors provide a framework to use in considering challenges for both vulnerable patients and health systems on the path to accountable care. The authors identify policies that can help overcome these obstacles: strategies that support ACO formation in diverse settings and that monitor, measure, and reward the performance of providers that reach all patients, including vulnerable populations.
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