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2010-05-12T16:21:51Z
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2010-05-12T16:58:06-04:00
2010-05-12T16:58:06-04:00
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Hester Lewis McKethan
The Vermont Accountable Care Organization Pilot: A Community Health System to Control Total Medical Costs and Improve Population Health
For the last two years
Vermont’s Health Care Reform Commission has been
exploring how the accountable care organization (ACO) model might be incorporated into the state’s comprehensive health reform program. Three Vermont provider organizations are now in various stages of planning an ACO as part of a national learning network. This report identifies four levels of geographic scale that support an ACO and five functional capabilities needed for its success. Because rural settings make potential ACOs more dependent on supporting infrastructure
the authors recommend a pilot community approach. Most small and mediumsized communities will need state or regional support for defining a common financial framework for all payers
creating a consolidated performance pool involving multiple payers
developing and expanding both medical homes and IT tools
and providing other technical support
training
and start-up funding. Federal health reform provides much-needed support for Medicare participation and rapid expansion of electronic medical records.
Mac OS X 10.6.3 Quartz PDFContext
For the last two years, Vermont’s Health Care Reform Commission has been
exploring how the accountable care organization (ACO) model might be incorporated into the state’s comprehensive health reform program. Three Vermont provider organizations are now in various stages of planning an ACO as part of a national learning network. This report identifies four levels of geographic scale that support an ACO and five functional capabilities needed for its success. Because rural settings make potential ACOs more dependent on supporting infrastructure, the authors recommend a pilot community approach. Most small and mediumsized communities will need state or regional support for defining a common financial framework for all payers, creating a consolidated performance pool involving multiple payers, developing and expanding both medical homes and IT tools, and providing other technical support, training, and start-up funding. Federal health reform provides much-needed support for Medicare participation and rapid expansion of electronic medical records.
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2010-05-12
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