title: Population health, public health, and accountable care: emerging roles and relationships.
abstract: To identify roles for public health agencies (PHAs) in accountable care organizations (ACOs), along with their obstacles and facilitators, we interviewed individuals from 9 ACOs, including Medicare, Medicaid, and commercial payers. We learned that PHAs participate in ACO-like partnerships with state Medicaid agencies, but interviewees identified barriers to collaboration with Medicare and commercial ACOs, including Medicare participation requirements, membership cost, risk-bearing restrictions, data-sharing constraints, differences between medicine and public health, and ACOs' investment yield needs. Collaboration was more likely when organizations had common objectives, ACO sponsors had substantial market share, PHA representatives served on ACO advisory boards, and there were preexisting contractual relationships. ACO-PHA relationships are not as straightforward as their shared use of the term "population health" would suggest, but some ACO partnerships could give PHAs access to new revenue streams.
authors: Julia F. Costich, F. Douglas Scutchfield, and Richard C. Ingram are with the Department of Health Management and Policy, University of Kentucky College of Public Health, Lexington. F. Douglas Scutchfield is also with the National Coordinating Center for Public Health Services and Systems Research, University of Kentucky College of Public Health.
authors: Julia F
authors: JF
authors: Costich
authors: F Douglas
authors: FD
authors: Scutchfield
authors: Richard C
authors: RC
authors: Ingram
mesh_terms: D060866:Accountable Care Organizations / Q000191:economics / Q000458:organization & administration*; D014487:Centers for Medicare and Medicaid Services, U.S. / Q000191:economics / Q000458:organization & administration*; D003299:Cooperative Behavior; D006801:Humans; D007373:Interinstitutional Relations; D011635:Public Health Administration; D011785:Quality Assurance, Health Care; D014481:United States