title: Pediatric Accountable Care Organizations: Insight From Early Adopters.
abstract: Partly in response to incentives in the Affordable Care Act, there has been major growth in accountable care organizations (ACO) in both the private and public sectors. For several reasons, growth of ACOs in pediatric care has been more modest than for older populations. The American Academy of Pediatrics collaborated with Leavitt Partners, LLC, to carry out a study of pediatric ACOs, including a series of 5 case studies of diverse pediatric models, a scan of Medicaid ACOs, and a summit of leaders in pediatric ACO development. These collaborative activities identified several issues in ACO formation and sustainability in pediatric settings and outlined a number of opportunities for the pediatric community in areas of organization, model change, and market dynamics; payment, financing, and contracting; quality and value; and use of new technologies. These insights can guide future work in pediatric ACO development.
authors.affiliation: Division of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, Massachusetts; jperrin@mgh.harvard.edu.|Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
authors.forename: James M
authors.initials: JM
authors.lastname: Perrin
authors.affiliation: American Academy of Pediatrics, Elk Grove Village, Illinois.
authors.forename: Edward
authors.initials: E
authors.lastname: Zimmerman
authors.affiliation: University Hospitals Rainbow Care Coalition, Cleveland, Ohio.|Department of Pediatrics, Case Western Reserve University Medical School, Cleveland, Ohio.
authors.forename: Andrew
authors.initials: A
authors.lastname: Hertz
authors.affiliation: Valence Health, Chicago, Illinois; and.
authors.forename: Timothy
authors.initials: T
authors.lastname: Johnson
authors.affiliation: Leavitt Partners, LLC, Salt Lake City, Utah.
authors.forename: Tom
authors.initials: T
authors.lastname: Merrill
authors.affiliation: Leavitt Partners, LLC, Salt Lake City, Utah.
authors.forename: David
authors.initials: D
authors.lastname: Smith
mesh_terms: D060866:Accountable Care Organizations / Q000458:organization & administration*; D032982:Contracts; D057286:Electronic Health Records; D005381:Financing, Organized; D006801:Humans; D017146:Models, Organizational; D010372:Pediatrics; D011785:Quality Assurance, Health Care; D017216:Telemedicine; D014481:United States