The Affordable Care Act at 10 Years: What’s Changed in Health Care Delivery and Payment?
Commonwealth Fund February 26, 2020
Experience from the ACA’s Accountable Care Organization program indicates that holding providers broadly accountable for the cost and quality of patients’ care, rather than incentivizing very specific behaviors, may be more effective in increasing the value of services.
The Issue
The Affordable Care Act (ACA) launched potentially groundbreaking changes in how health care is paid for and delivered in the United States. In the second of two health policy reports for the New England Journal of Medicine, the Commonwealth Fund’s David Blumenthal, M.D., and Melinda Abrams reviewed the ACA’s major reforms in payment and delivery systems, as well as results from some of the law’s most notable initiatives. The first report examined the law’s coverage and access provisions.
What the...