AJMC October 15, 2025
Christina Mattina, Rose McNulty

Key Takeaways

  • ACOs managing complex populations face challenges like patient attribution, irrelevant quality measures, and financial constraints, requiring tailored strategies for effective care delivery.
  • Collaborative ACOs and value-based care models help include rural providers, achieving shared savings despite resource limitations and inappropriate spending benchmarks.
  • Policy changes, such as adjusting reimbursement structures and benchmarking, are needed to better support ACOs caring for complex patient populations.
  • Technology, including AI, holds potential to enhance patient care and intervention identification, improving workflow efficiency and resource management.

ACOs serving patients with complex needs are on the rise, but policy changes are needed to support providers treating special populations.

Complex patient populations require thoughtful and comprehensive health care, especially when it’s being delivered by...

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Topics: ACO (Accountable Care), Patient / Consumer, Payment Models, Provider, Value Based
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