Lifting the Veil

Birth Of The ACO

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Bringing about a system of better, not more, health care drove the creation of the Accountable Care Organization (ACO) model five years ago. The goals? Compelling physicians and health care organizations to transparently report on the outcomes and quality of their care to gauge how well they were performing, and moving from a fragmented system focused on volume and fee-for-service care to a system that rewards physicians and hospitals for improving care outcomes within an organized system.

Elliott Fisher, MD, MPH, Professor of Medicine at Dartmouth's Geisel School of Medicine, and Director of the Dartmouth Institute for Health Policy & Clinical Practice, explains why Dartmouth faculty led the effort to create the ACO model. 10% of all Americans are now receiving care within an organization that has an ACO contract.

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