Partly in response to incentives in the Affordable Care Act, there has been major growth in accountable care organizations (ACO) in both the private and public sectors. For several reasons, growth of ACOs in pediatric care has been more modest than for older populations. The American Academy of Pediatrics collaborated with Leavitt Partners, LLC, to carry out a study of pediatric ACOs, including a series of 5 case studies of diverse pediatric models, a scan of Medicaid ACOs, and a summit of leaders in pediatric ACO development. These collaborative activities identified several issues in ACO formation and sustainability in pediatric settings and outlined a number of opportunities for the pediatric community in areas of organization, model change, and market dynamics; payment, financing, and contracting; quality and value; and use of new technologies. These insights can guide future work in pediatric ACO development.
Pediatric Accountable Care Organizations: Insight From Early Adopters
POTENTIAL CONFLICT OF INTEREST: Dr Johnson is currently with Valence Health, an Accountable Care Organization (ACO) consulting firm. At the time of this study, he was at Children’s Mercy Hospital in Kansas City, MO. Mr Merrill and Mr Smith are employees of Leavitt Partners, a firm assessing and consulting on ACO development. The other authors have indicated they have no potential conflicts of interest to disclose.
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
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James M. Perrin, Edward Zimmerman, Andrew Hertz, Timothy Johnson, Tom Merrill, David Smith; Pediatric Accountable Care Organizations: Insight From Early Adopters. Pediatrics February 2017; 139 (2): e20161840. 10.1542/peds.2016-1840
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