Robert Mechanic, M.B.A., and Darren E. Zinner, Ph.D.
R. Mechanic and D. E. Zinner, “Many Large Medical Groups Will Need to Acquire New Skills and Tools to Be Ready for Payment Reform,” Health Affairs, Sept. 2012 31(9):1984–92.
New approaches to paying for health care are asking provider organizations to adhere to global budgets and risk-sharing arrangements in an effort to control spending and promote value in health care delivery. A Commonwealth Fund–supported survey of 21 large, multispecialty medical groups—often viewed by policymakers as the prototypes for accountable care organizations—assessed the extent to which large medical groups are prepared to participate in these kinds of contracts.
The authors conclude that medical groups lacking experience with risk-sharing contracts may need to develop new competencies and infrastructure to work successfully under them. These include: information systems that track performance and support clinicians in delivering effective care; physician-level reward systems tied to organizational goals; physician leadership; and organizational commitment to performance improvement.