Establishing a Coalition to Pursue Accountable Care in the Safety Net: A Case Study of the FQHC Urban Health Network

October 8, 2013

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The Federally Qualified Health Center Urban Health Network is a coalition of 10 federally qualified health centers (FQHCs) in the Minneapolis–St. Paul area that pursued an accountable care organization (ACO) through a Medicaid demonstration project with Minnesota. Under the ACO model, the coalition has assumed responsibility for the total cost and quality of care delivered for an assigned patient population. This case study explores: the state context under which the ACO contract emerged; origins of the coalition; the members’ motivations to participate; strategies and processes established to work toward cost and quality benchmarks; challenges faced in pursuing accountable care; and the organizational strengths that facilitated the health centers’ shift from competition to collaboration. The keys to the coalition’s success include a committed leadership team focused around a singular purpose; the partnership with its administrative services partner; and the diversity of programs, services, and experiences among the 10 FQHCs.

Publication Details

Publication Date:

October 8, 2013

Citation:

K. E. Schoenherr, A. D. Van Citters, K. L. Carluzzo, et al., Establishing a Coalition to Pursue Accountable Care in the Safety Net: A Case Study of the FQHC Urban Health Network, The Commonwealth Fund, October 2013. 

Authors / Experts:

Consultant / The Dartmouth Institute for Health Policy and Clinical Practice

Health Policy Fellow / The Dartmouth Institute for Health Policy and Clinical Practice

Elliot S. Fisher

Director / The Dartmouth Institute for Health Policy & Clinical Practice

Summary Writer:

Martha Hostetter

Consulting Writer and Editor / Pear Tree Communications

Related Topics
Health Care Delivery

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