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Exploring Accountable Care in Canada
Tai M. Huynh
其他書名
Integrating Financial and Quality Incentives for Physicians and Hospitals
出版Canadian Foundation for Healthcare Improvement, 2014
ISBN192787307X9781927873076
URLhttp://books.google.com.hk/books?id=auvDoAEACAAJ&hl=&source=gbs_api
註釋In this paper, we present the results of our research on the potential of ACO-like vehicles for physicians and hospitals to jointly own the risk and benefits associated with the cost and quality of care for a defined population. [...] Because of the concentration of costs in a relatively small proportion of the population in Canada (Wodchis, 2012), the ability to derive better financial and quality performance from tighter management of this population will be a key issue in considering the feasibility of ACOs in provincial health systems. [...] The key feature of the ACO model is the shared savings program, which is based on gain-sharing agreements between the payer and providers making up the ACO - where payer and providers share in the cost savings achieved. [...] Thus the governance and improvement capacity of the system, as well as the willingness of providers from across sectors and professions to participate will be a critical question in considering the feasibility of ACOs in provincial health systems. [...] It looked at the issue from a variety of perspectives: The strength of the relationship between cost and quality and the key structural enablers to support achievement of lower cost and better quality; The creation of networks of community and hospital-based physicians and the hospitals where they work or refer patients that can serve to internalize the management of cost and quality; The si.