Examining a Safety-Net Health System’s Transformation into an Accountable Care Organization


With its potential to deliver well-coordinated, comprehensive health services, the accountable care organizations (ACO) can improve care for vulnerable populations. In 2008, Cambridge Health Alliance (CHA), a leading safety-net provider, began its transformation to an ACO, turning primary care sites into patient-centered medical homes and testing global payment arrangements. This grant will support an in-depth case study of CHA’s approach to delivery system and payment reform, documenting the organization’s progress in becoming an ACO, clarifying the challenges for safety-net systems, and identifying lessons to help these providers deliver efficient, patient-centered population-based care. The grantee will provide in-kind support.

Grant Details

Grantee Organization:
Institute for Community Health, Inc.
Principal Investigator:
Karen Hacker, M.D., M.P.H.
Award Amount:
Approval Date:
April 10, 2012

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