Reimbursement Models Used by ACOs
Healthcare Performance Benchmarks
October 23, 2013Vol. III Issue 43

Reimbursement Models
Used by ACOs

Reimbursement Models Used by ACOs This Week's Challenge: As the number of public and private accountable care organizations nears 500, participants are fine-tuning the ACO model. In the few years since the ACO model entered healthcare's consciousness, administration has shifted from hospital-led to physician-only leadership to PHO-helmed ACOs. We wanted to see which reimbursement models are being used by ACOs.

Click here to view a printable version of the chart.

What We Learned: HIN's third annual survey on ACOs captured how 138 healthcare organizations are participating in ACOs, including who administers the ACO, which providers participate in the ACO, the components of an ACO and much more. According to survey respondents, the following reimbursement models are being used by their ACO:

  • Fee for service + care coordination + shared savings: 37 percent

  • Shared savings: 22.2 percent

  • Pay for performance: 11.1 percent

  • Fee for service + care coordination: 11.1 percent

  • Other: 7.4 percent

  • Fee for service: 7.4 percent

  • Bundled/episodic payments: 3.7 percent

Showcase your data in Healthcare Performance Benchmarks. If you have a healthcare chart you'd like to share, contact the Healthcare Intelligence Network at jfornarotto@hin.com or toll-free at 888-446-3530.

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2013 Healthcare Benchmarks: Accountable Care Organizations

Excerpted from 2013 Healthcare Benchmarks: Accountable Care Organizations, which is HIN's third annual compendium of metrics and benchmarks on ACOs, and documents the numerous ways in which accountable care is transforming healthcare delivery, particularly in the area of care coordination, where the ACO model has had the greatest impact for this year's respondents to HIN's third annual ACO survey.

© 2013 Healthcare Performance Benchmarks by Healthcare Intelligence Network.
Editor: Jessica Fornarotto, jfornarotto@hin.com;
Publisher: Melanie Matthews, mmatthews@hin.com

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