Citation
Lewis, Valerie A.; Larson, Bridget Kennedy; McClurg, Asha Belle; Boswell, Rebecca Goldman; & Fisher, Elliott S. (2012). The Promise and Peril of Accountable Care for Vulnerable Populations: A Framework for Overcoming Obstacles. Health Affairs, 31(8), 1777-1785.Abstract
Accountable care organizations (ACOs) are a promising payment model aimed at reducing costs while also improving the quality of care. However, there is a risk that vulnerable populations may not be fully incorporated into this new model. We define two distinct vulnerable populations, clinically at-risk and socially disadvantaged, and we discuss how ACOs may benefit each group. We provide a framework to use in considering challenges for both vulnerable patients and health systems on the path to accountable care. We identify policies that can help overcome these obstacles: strategies that support ACO formation in diverse settings and that monitor, measure, and reward the performance of providers that reach all patients, including vulnerable populations.URL
http://dx.doi.org/10.1377/hlthaff.2012.0490Reference Type
Journal ArticleYear Published
2012Journal Title
Health AffairsAuthor(s)
Lewis, Valerie A.Larson, Bridget Kennedy
McClurg, Asha Belle
Boswell, Rebecca Goldman
Fisher, Elliott S.