title: Early lessons from accountable care models in the private sector: partnerships between health plans and providers.
abstract: New health care delivery and payment models in the private sector are being shaped by active collaboration between health insurance plans and providers. We examine key characteristics of several of these private accountable care models, including their overall efforts to improve the quality, efficiency, and accountability of care; their criteria for selecting providers; the payment methods and performance measures they are using; and the technical assistance they are supplying to participating providers. Our findings show that not all providers are equally ready to enter into these arrangements with health plans and therefore flexibility in design of these arrangements is critical. These findings also hold lessons for the emerging public accountable care models, such as the Medicare Shared Savings Program-underscoring providers' need for comprehensive and timely data and analytic reports; payment tailored to providers' readiness for these contracts; and measurement of quality across multiple years and care settings.
authors: America's Health Insurance Plans, Washington, DC, USA. ahiggins@ahip.org
authors: Aparna
authors: A
authors: Higgins
authors: Kristin
authors: K
authors: Stewart
authors: Kirstin
authors: K
authors: Dawson
authors: Carmella
authors: C
authors: Bocchino
mesh_terms: D060866:Accountable Care Organizations / Q000191:economics*; D003299:Cooperative Behavior; D006264:Health Benefit Plans, Employee; D006282:Health Personnel; D017146:Models, Organizational; D017149:Private Sector; D012051:Reimbursement Mechanisms / Q000458:organization & administration; D014481:United States