Health Affairs July 31, 2023
Purva Rawal, Douglas Jacobs, Elizabeth Fowler, Meena Seshamani

In 2021, the Centers for Medicare and Medicaid Services (CMS) affirmed the importance of accountable care to achieving its goals of advancing health equity, supporting high-quality, person-centered care, and promoting affordability and sustainability in Medicare. CMS set a bold goal of having 100 percent of people with traditional Medicare in accountable care relationships with providers who are responsible for the quality and total costs of their care by 2030. Accountable care means that a doctor, group of health care providers, or hospitals take responsibility for improving quality of care, care coordination, and health outcomes for a defined group of patients based on a series of population-based metrics and cost based on a financial benchmark, thereby reducing care fragmentation and unnecessary...

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Topics: ACO (Accountable Care), CMS, Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Medicare, Patient / Consumer, Payment Models, Provider, Value Based
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