title: Redesigning Health Care Organizations: The Influence of Government Policy and Methods of Payment.
abstract: Over the last 5 years, there has been a growing trend toward consolidation in the health care field. As reimbursement moves from a fee-for-service model to a value-based model, there will be continued pressure on physicians to either be a hospital employee or to be in a large multidisciplinary practice. This is largely due to the Accountable Care Act, which directs payers to utilize population-based cost analyses, rather than an individual patient-based analysis. To succeed in this environment, practices will have to break down traditional organizational barriers to create evidence-based algorithms for the treatment of individual diagnoses from the initial onset of symptoms until the resolution of symptoms.
authors.affiliation: *Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY †The Rothman Institute at Thomas Jefferson University, Philadelphia, PA.
authors.forename: Alok D
authors.initials: AD
authors.lastname: Sharan
authors.forename: Gregory D
authors.initials: GD
authors.lastname: Schroeder
authors.forename: Michael E
authors.initials: ME
authors.lastname: West
authors.forename: Alexander R
authors.initials: AR
authors.lastname: Vaccaro
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D006076:Government; D005102:Health Expenditures; D006801:Humans; D057766:Policy