Health Affairs January 7, 2020
Accountable care organizations (ACOs) are an increasingly dominant feature of the health care delivery system. As of the third quarter of 2019, nearly 1,000 ACOs covered approximately 44 million lives in the United States. Evidence regarding Medicare ACOs and their commercial counterparts indicates these models can achieve savings while meeting quality standards, although savings amounts vary by ACO characteristics (see previous work here and here).
Given their breadth and their incentives for care coordination, ACOs could be a powerful vehicle for improving palliative and serious illness care. This is because many of the most useful services for people with serious illness, such as 24/7 access to clinical support, home-based services, or caregiver education, are not typically reimbursed (or have small...
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