title: Accountable Care Organizations: what they mean for the country and for neurointerventionalists.
abstract: The Affordable Care Act is celebrating its fifth anniversary and remains one of the most significant attempts to reform healthcare in US history. Prior to the federal legislation, Accountable Care Organizations had largely been part of an academic discussion about how to control rising healthcare costs, but have since become a fixture in our national healthcare landscape. A fundamental shift is underway in the relationship between healthcare delivery and payment models. Some elements of Accountable Care Organizations may remain unfamiliar to most healthcare providers, including neurointerventional specialists. In this paper we review the fundamental concepts behind and the current forms of Accountable Care Organizations, and discuss the challenges and opportunities they present for neurointerventionalists.
authors.affiliation: Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Timothy M
authors.initials: TM
authors.lastname: Meehan
authors.affiliation: Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: H Benjamin
authors.initials: HB
authors.lastname: Harvey
authors.affiliation: Harvey L Neiman Health Policy Institute, Reston, Virginia, USA Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Duszak
authors.affiliation: Departments of Radiology and Neurological Surgery, Neurological Institute of New York, Columbia University, College of Physicians & Surgeons, New York, New York, USA.
authors.forename: Philip M
authors.initials: PM
authors.lastname: Meyers
authors.affiliation: Department of Radiology, Weill Cornell Medical College, New York, New York, USA.
authors.forename: Geraldine
authors.initials: G
authors.lastname: McGinty
authors.affiliation: Hackensack University Medical Center, Hackensack, New Jersey, USA.
authors.forename: Gregory N
authors.initials: GN
authors.lastname: Nicola
authors.affiliation: NeuroEndovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Joshua A
authors.initials: JA
authors.lastname: Hirsch
mesh_terms: D060866:Accountable Care Organizations / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D017048:Health Care Costs; D018166:Health Care Reform / Q000191:economics / Q000592:standards; D006801:Humans; D009485:Neuroradiography / Q000191:economics / Q000592:standards; D058991:Patient Protection and Affordable Care Act / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D011787:Quality of Health Care / Q000191:economics / Q000592:standards*; D015642:Radiology, Interventional / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D014481:United States
keywords: Economics; Political