Population Health, Public Health, and Accountable Care

Emerging Roles and Relationships

Datos Bibliográficos

ID11023196
AutoresJulia F Costich (0000-0001-8687-4478, Julia F. Costich, F. Douglas Scutchfield, and Richard C. Ingram are with the Department of Health Management and Policy, University of Kentucky College of Public Health, Lexington. F. Douglas Scutchfield is also with the National Coordinating Center for Public Health Services and Systems Research, University of Kentucky College of Public Health.), F Douglas Scutchfield (0000-0003-1100-7286, Julia F. Costich, F. Douglas Scutchfield, and Richard C. Ingram are with the Department of Health Management and Policy, University of Kentucky College of Public Health, Lexington. F. Douglas Scutchfield is also with the National Coordinating Center for Public Health Services and Systems Research, University of Kentucky College of Public Health.), Richard C Ingram (Julia F. Costich, F. Douglas Scutchfield, and Richard C. Ingram are with the Department of Health Management and Policy, University of Kentucky College of Public Health, Lexington. F. Douglas Scutchfield is also with the National Coordinating Center for Public Health Services and Systems Research, University of Kentucky College of Public Health.)
Año2015
Volumen105
Número5
Páginas846-850
Fecha de publicación2015-05-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.302484
PMID25790394
OpenAlexW2040446863
IdiomaEN
Citas recibidas4
Referencias citadas4

To identify roles for public health agencies (PHAs) in accountable care organizations (ACOs), along with their obstacles and facilitators, we interviewed individuals from 9 ACOs, including Medicare, Medicaid, and commercial payers. We learned that PHAs participate in ACO-like partnerships with state Medicaid agencies, but interviewees identified barriers to collaboration with Medicare and commercial ACOs, including Medicare participation requirements, membership cost, risk-bearing restrictions, data-sharing constraints, differences between medicine and public health, and ACOs’ investment yield needs. Collaboration was more likely when organizations had common objectives, ACO sponsors had substantial market share, PHA representatives served on ACO advisory boards, and there were preexisting contractual relationships. ACO–PHA relationships are not as straightforward as their shared use of the term “population health” would suggest, but some ACO partnerships could give PHAs access to new revenue streams

Environmental health · Health care · Political science · Population · Population health · Public health · Healthcare cost, quality, practices · Healthcare Policy and Management · Medicine · Nursing · Public Health Policies and Education