As momentum builds for the patient-centered medical home and the accountable care organization (ACO) as models for improving quality of care and keeping costs in check, it is increasingly important that they fit together operationally to maximize synergy. This entails alignment of incentives, comanagement of designated patient populations, coordination of specialist referrals, and efficient division of activities that could be provided either inside or outside primary care settings. A team from the Urban Institute will conduct a total of 36 interviews with ACO medical directors and primary care clinicians, as well as clinicians working outside of ACOs, to explore the interaction of medical homes and ACOs, with the goal of identifying practical, operational approaches to ensure they are better aligned.
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