Health Affairs December 22, 2023
As we described in Part 1 of this article, specialty care providers have had limited opportunities to date for engagement in accountable care models, such as accountable care organizations (ACOs), despite their critical contributions to patient care. This is a missed opportunity for payment reform, given the growing breadth and reach of ACOs and the growing range, potential health impacts, and costs of specialty care services.
Further progress is urgently needed. As the range of specialty care services continues to increase, so has the risk of fragmentation, with a large proportion of referrals never resulting in follow-ups. Current accountable care programs have not solved this problem: Although specialists accounted for 66 percent of ACO medical providers in the 2022 Medicare...
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