Commonwealth Fund August 4, 2025
TOPLINES
Accountable care organizations tie financial rewards to improvements in patient health outcomes, an approach that can lead to higher quality and more efficient care
Enabling more of the nation’s community health centers to join accountable care organizations will likely require more generous payments, up-front financial investment, and staff training
While the United States spends more of its gross domestic product on health care than other high-income countries in the world, Americans do not have more affordable or more accessible care.1 Life expectancy in the U.S. is also lower compared to peer countries, and rates of avoidable deaths are higher.2
The predominance of fee-for-service payment in the U.S. is seen as a major contributor to this incongruity. Because health care...







