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Home / News & IndustryManaged Care Insight and Analysis
Updated: March 8, 2011
Money Could Be Biggest Barrier To Integrated, Accountable Care

Nearly 9 out of 10 healthcare policy leaders think that lack of incentives, combined with financial self interests of providers and other stakeholders, are barriers to moving health care toward more integrated and accountable delivery models.

The findings came from the Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey. Of the 1,330 opinion leaders in health policy and health care delivery and finance polled, 225 responded.

Healthcare leaders point out obstacles to the growth of accountable care organizations (ACOs) but were also quick to identify potential solutions.

Large majorities, 65 percent, supported providing a special payment arrangement to ACOs and 65 percent supported giving providers financial incentives to practice in ACOs. 

Despite majority support of ACOs and integrated delivery systems, 74 percent of healthcare opinion leaders said they were concerned or very concerned with providers acquiring excessive market power and dominance.

To prevent this a majority of health care leaders, 56 percent, support regulation of ACO payment rates in regions with insufficient market competition — similar to the way a public utility is regulated.

Address: The Commonwealth Fund, One East 75th Street, New York, NY 10021; (212) 606-3800,

  This article was taken from:
Pay-For-Performance Reporter

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