| 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, www.commonwealthfund.org.
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