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March 2014

Better quality measures, analytics needed for development of ACO models

This is the first part of a two-part series on accountable care organizations (ACOs). This half covers the continuing development of ACOs and why it's crucial that quality metrics are defined sooner rather than later. The second half of the series dives into how some providers are preparing themselves to transition to an ACO model. Many payers and providers have high hopes for the ongoing, industry-wide transition to pay-for-performance models, but poorly defined quality metrics and a lack of analytics technology adoption could derail these accountable care models before they have a chance to deliver on their promise. "We have a situation that is actually very disappointing," said Allan Goroll, physician at Massachusetts General Hospital and professor of medicine at Harvard Medical School. "We have poor metrics for performance, little work being done on improving those measures and very little attention being paid by payers to more meaningful metrics. Instead we're just doing the quick and dirty." Goroll, who is in favor of the ...

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