Health Affairs August, 2020
Michele Cohen Marill

ABSTRACT

Fifteen years after a precursor to the ACO formed in the Black Forest region, a value-based approach to health care gains traction.

Nermina gives a sheepish smile as she sits across from Martin Wetzel, her general practitioner. She left her last visit in tears after he warned her that her health was in peril because of her weight, and, frankly, Wetzel hadn’t been sure she would return. Nermina is just thirty, but she already has insulin-dependent type 2 diabetes and hypertension.

In that last visit, Wetzel asked her to make a decision: Was she willing to change her lifestyle for her health? If not, even with increasing amounts of medicine, she would likely face...

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Topics: ACO (Accountable Care), Govt Agencies, Healthcare System, Insurance, Payment Models, Provider, Public Health / COVID, Value Based
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