Accountable Care in the Safety Net: A Case Study of the Cambridge Health Alliance

June 25, 2014

×

Downloads

Overview

Following passage of health care reform in Massachusetts, the Cambridge Health Alliance (CHA), a public safety-net health system, began to establish an accountable care organization in an effort to continue its mission and remain financially solvent. In examining how CHA undertook its delivery system transformation, this case study explores the organization’s four major strategies: establishing patient-centered medical homes, entering alternative payment arrangements with managed care organizations, launching complex care management, and establishing a partnership with a tertiary care institution. Workforce education and culture change were also core principles. Within two years, CHA had already received National Committee for Quality Assurance patient-centered medical home recognition for six of its primary care sites, and quality metrics demonstrate improvements in these sites compared with others. Moreover, utilization in one managed care organization is trending downward. Challenges persist, however, due in part to fiscal pressures created by state health care reform.

Publication Details

Publication Date:

June 25, 2014
Lorber

Editor:

Citation:

K. Hacker, R. Mechanic, and P. Santos, Accountable Care in the Safety Net: A Case Study of the Cambridge Health Alliance, The Commonwealth Fund, June 2014.

Authors / Experts:

Karen Hacker

Director / Allegheny County Health Department

Senior Fellow / Heller School of Social Policy and Management, Brandeis University

Related Topics
Health Care Delivery

Forgot Password

An email has been sent to {{email}} with your reset password.

Account was not found. Please go to the login page and enter a new password.

Account was not found. Please try again with a different email address.

There was an error when attempting to send to {{email}}. Please contact an administrator.