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Four Health Care Organizations' Efforts to Improve Patient Care and Reduce Costs

This report synthesizes findings and lessons from case studies of four diverse health care organizations participating in the Brookings–Dartmouth ACO Pilot Program, launched in 2009 to support selected provider groups that are collaborating with private payers to form accountable care organizations (ACOs). The organizations are: HealthCare Partners, a medical group/independent practice association (IPA) in Los Angeles, Calif.; Monarch HealthCare, an IPA in Orange County, Calif.; Norton Healthcare, an integrated delivery system in Louisville, Ky.; and Tucson Medical Center, a community hospital working with independent provider groups in Tucson, Ariz. Each has agreed to take responsibility for overall quality and costs of care for their patients, and each has a committed private payer partner and sufficient patient population to support comprehensive care coordination and performance measurement. The strategies they have adopted to develop internal capabilities and external partnerships can inform providers, payers, and policymakers about the process of ACO formation.

Publication Details

Publication Date: January 13, 2012
Citation:

A. D. Van Citters, B. K. Larson, K. L. Carluzzo et al., Four Health Care Organizations' Efforts to Improve Patient Care and Reduce Costs, The Commonwealth Fund, January 2012.

Experts

Consultant, The Dartmouth Institute for Health Policy and Clinical Practice
Director, Health Policy Implementation, The Dartmouth Institute for Health Policy and Clinical Practice
Health Policy Fellow, The Dartmouth Institute for Health Policy and Clinical Practice
Senior Policy Analyst, National Governors Association
Researcher, Winnipeg Regional Health Authority
Blue Cross of California Distinguished Professor of Health Policy and Management, University of California, Berkeley, School of Public Health
Director, Population Health and Measurement at The Dartmouth Institute for Health Policy and Clinical Practice
Director, The Dartmouth Institute for Health Policy & Clinical Practice