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What the Experts Say

Thought leaders share their thoughts on Accountable Care.

Dr. Robert Nesse, Chief Executive Officer, Mayo Clinic Health System Dr. Robert Nesse
Chief Executive Officer, Mayo Clinic Health System
The Top 5 Things Medical Groups Can Do to Prepare for System Reform
In my previous writing for this Accountable Care column, I stated that to embrace our current healthcare challenges and move toward solutions, we must address these three questions: What can we do to solve the problems of health care in … Continue reading

Q: Why is care coordination important to improve the quality and cost of health care in America?

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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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