Increasing the Longevity of Accountability, Designing Cooperative Models, and Transferring Risk Across a Lifetime of Accountable Care

AJMC November 21, 2024
Travis Broome, MPH, MBA

Key Takeaways

• Medicare’s stable coverage supports ACOs, unlike the fluctuating commercial and Medicaid spaces, which challenge long-term accountable care.
• Long-term patient-physician relationships are vital for accountable care, but insurance-driven turnover disrupts these connections.
• Enhancing predictive risk models and standardizing ACO designs across payers could improve continuity and financial alignment.
• Achieving sustainable revenue based on primary care outcomes requires cooperation in ACO model design and risk management across the multipayer system.

To achieve longer accountable relationships, a bridge from one insurer to another could be built through continuity of accountability amid insurance transitions, improved risk prediction, and cooperation in the design of accountable care models.

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