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What the Experts Say

Thought leaders share their thoughts on Accountable Care.

Donald H. Crane, CEO and Founder, President and CEO, California Association of Physician Groups Donald H. Crane
President and CEO, California Association of Physician Groups Eric B Larson, MD, MPH Vice President for Research, Group Health
Eric B Larson, MD, MPH, Vice President for Research, Group Health Dr. Craig Samitt,
										President and CEO of Dean Clinic
Dr. Craig Samitt, President and CEO of Dean Clinic John Jenrette, M.D.
										Chairman of the Board, CAPG; CEO, Sharp Community Medical Group
John Jenrette, M.D. Chairman of the Board, California Association of Physician Groups CEO, Sharp Community Medical Group Dr. Gene Lindsey Dr. Gene Lindsey
President and CEO,
Atrius Health and Harvard Vanguard Medical Associates Robert Margolis, M.D. Robert Margolis, M.D. Dr. Robert Pearl Dr. Robert Pearl
CEO, The Permanente Medical Group
Chair, Council of Accountable Physician Practices
Jack Cochran, MD Jack Cochran, MD
Executive Director
The Permanente Federation

Robert E. Nesse, MD Robert E. Nesse, MD
CEO
Mayo Clinic
Health System

Gary S. Kaplan, MD Gary S. Kaplan, MD
Chairman and CEO
Virginia Mason Health System
Physician Leadership in Changing Times
In health care, as in life, change is the only constant. Today, the tides of change are pushing the health care system toward ever greater shared accountability among physicians, hospitals, and payers. Whether that change will ultimately benefit patients – or simply become an exercise in rearranging the deck chairs on the Titanic – will depend, in large part, on the skill of those who are leading the movement. As physician leaders of three of the nation׳s largest integrated health care delivery systems – Kaiser Permanente, Virginia Mason Medical Center, and the Mayo Clinic Health System, respectively – we believe physicians must be central to this effort, in solid partnership with skilled administrators. more

Q: In your opinion, are ACOs generally viewed favorably among the medical community (or physicians)?

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"Our healthcare system is fragmented, with a misalignment of incentives, or lack of coordination, that s ... more

"Our healthcare system is fragmented, with a misalignment of incentives, or lack of coordination, that spawns inefficient allocation of resources. Fragmentation adversely impacts quality, cost, and outcomes. Eliminating waste from unnecessary, unsafe care is crucial for improving quality and reducing costs--and making the system financially sustainable. Many believe this can be achieved through greater integration of healthcare delivery, more specifically via integrated delivery systems. . . ."

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Alain C. Enthoven
"Integrated Delivery Systems: The Cure for Fragmentation," www.ajmc.com, December 2009

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What is an ACO?

Different experts have different perspectives. But generally, an ACO can be defined as a set of healthcare providers — including primary care physicians, specialists, and hospitals — that work together collaboratively and accept collective accountability for the cost and quality of care delivered to a population of patients.

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