title: Accountable care organizations and the allergist: challenges and opportunities.
abstract: For decades, health care policy experts have wrestled with ways to solve problems of access, cost, and quality in US health care. The current consensus is that the solution to all three lies in changing financial incentives for providers and delivering care through integrated systems. The currently favored vehicle for this, both in the public and private sectors, is through Accountable Care Organizations (ACOs). Medicare has several models and has fostered rapid growth in the number of operative ACOs. At least an equal number of private ACOs are in operation. Whether or not these organizations will fulfill their promise is unknown but there is reason for cautious optimism. Allergists can and should be part of the process of this transformation in our health care system. They can be integral to helping these organizations save money by reducing hospitalizations and improving the quality of allergy and asthma care in the populations served. In order to accomplish this, allergists must become more involved in their medical communities and hospitals.
authors.affiliation: Division of Allergy, Department of Medicine, George Washington University School of Medicine, Washington, DC. Electronic address: dein@mfa.gwu.edu.
authors.forename: Daniel
authors.initials: D
authors.lastname: Ein
authors.affiliation: Advocate Medical Group of Advocate Health Care, Chicago, Ill.
authors.forename: Michael B
authors.initials: MB
authors.lastname: Foggs
mesh_terms: D060866:Accountable Care Organizations / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D000486:Allergy and Immunology / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D018588:Fee-for-Service Plans / Q000458:organization & administration; D017048:Health Care Costs; D018166:Health Care Reform / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D005102:Health Expenditures; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D007193:Independent Practice Associations / Q000458:organization & administration; D008484:Medicaid / Q000458:organization & administration; D006278:Medicare / Q000458:organization & administration; D017146:Models, Organizational; D009937:Organizational Objectives; D064872:Patient Care Bundles; D058991:Patient Protection and Affordable Care Act / Q000458:organization & administration; D018802:Patient-Centered Care / Q000458:organization & administration; D011216:Practice Management, Medical / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D011787:Quality of Health Care / Q000458:organization & administration; D014481:United States
keywords: ACO; Access, cost, and quality; Accountable care organization; Accountable care organizations; Attribute; Bundled payment; CMS; Centers for Medicare and Medicaid Services; FFS; Fee-for-service; IT; Independent practice association; Information technology; Medicaid; Medicare; PCMH; PCP; Patient Protection and Affordable Care Act; Patient-centered medical home; Payment model; Pioneer; Primary care physician; Shared risks and savings; TIN; Tax identification number