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Innovative Payment and Care Delivery Models : Accountable Care Organizations in the USA

Title data

Werner, Sarah S. ; Schmid, Andreas ; Des Jardins, Terrisca ; Lehmann, Alexandra:
Innovative Payment and Care Delivery Models : Accountable Care Organizations in the USA.
In: Amelung, Volker ; Stein, Viktoria ; Suter, Esther ; Goodwin, Nicholas ; Balicer, Ran ; Beese, Anna-Sophia (ed.): Handbook of Integrated Care. 3rd ed. - Cham : Springer Nature Switzerland and Imprint Springer , 2025 . - pp. 1-19
ISBN 978-3-031-25376-8
DOI: https://doi.org/10.1007/978-3-031-25376-8_51-1

Abstract in another language

The US healthcare system has a history of continuous organizational change. The result is by no means a perfect healthcare system. However, a by-product of this history is a large number of experiments, making the USA probably the largest laboratory for healthcare delivery reform in the world. Both quality and costs are pressing issues for US healthcare reform. Efforts to address these issues by means of integrated care delivery and innovative payment models are mostly driven by the Centers for Medicare and Medicaid Services (CMS) and specifically the Center for Medicare and Medicaid Innovation (CMMI). Many of CMS’s reform efforts can be linked to goals now known as the Quadruple Aim: improving the experience of care and the health of populations, providers attaining joy in work, while reducing per-capita costs. These aims conflict with traditional, fragmented delivery structures, and fee-for-service (FFS) payments, which are still the underlying structures or circumstances for reimbursing providers and delivering care for patients. One of the most discussed alternative payment models is the accountable care organization (ACO). This chapter illustrates the concept of ACOs and discusses some preliminary findings on the impact of this model of integrated care delivery.

Further data

Item Type: Article in a book
Refereed: No
Keywords: ACO
Institutions of the University: Faculties > Faculty of Law, Business and Economics > Department of Business Administration > Former Professors > Junior Professor Health Management - Juniorprof. Dr. Andreas Schmid
Result of work at the UBT: Yes
DDC Subjects: 300 Social sciences > 330 Economics
Date Deposited: 07 Jan 2026 08:31
Last Modified: 07 Jan 2026 08:31
URI: https://eref.uni-bayreuth.de/id/eprint/95525