Providers and in­sur­ers need to do a bet­ter job of reach­ing pa­tients and em­ploy­ers to help pri­vate ac­count­able care or­ga­ni­za­tions achieve lower costs and higher qual­ity, ac­cord­ing to physi­cian ex­ec­u­tives at four large health in­sur­ance com­pa­nies.

Modern Healthcare - - LATE NEWS -

Their ex­pe­ri­ences re­flect that ACOs are still a new struc­ture, and build­ing a new pay­ment and care model as com­plex as an ACO is not easy to roll out. Dr. Alan Muney, chief med­i­cal of­fi­cer at Cigna Corp., said his com­pany has more than 130 large-group ACOs. Only 58% have both low­ered costs and im­proved qual­ity. Part of the prob­lem, he said, is that so many doc­tors are still paid on a vol­ume ba­sis. Suc­cess­ful ACOs have tied pay­ment to mea­sures of qual­ity, safety and pa­tient sat­is­fac­tion, and hos­pi­tals and doc­tors were on board with that.

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