Currently Viewing:
The American Journal of Accountable Care March 2019
Safety Net Representation in Federal Payment and Care Delivery Reform Initiatives
J. Mac McCullough, PhD, MPH; Natasha Coult, MS; Michael Genau, MS; Ajay Raikhelkar, MS; Kailey Love, MBA, MS; and William Riley, PhD
ACO Use of Case Mix Index to Comprehensively Evaluate Postacute Care Partners
Mark E. Lewis, MPH; and Avery M. Day, MPH
Improvement of Outpatient Quality Metrics in a Limited-Resource Setting
Carolina dos Santos, BA; Torkom Garabedian, MD; Maria D. Hunt, LPN; Schawan Kunupakaphun, MS; and Pracha Eamranond, MD, MPH
Improved Cost and Utilization Among Medicare Beneficiaries Dispositioned From the ED to Receive Home Health Care Compared With Inpatient Hospitalization
James Howard, MD; Tyler Kent, BS; Amy R. Stuck, PhD, RN; Christopher Crowley, PhD; and Feng Zeng, PhD
Currently Reading
Effective Population Health Care Delivery Under Medicare’s Merit-based Incentive Payment System: Realigning Accountability With Capability
Adam S. Wilk, PhD; and Sanjula Jain, PhD

Effective Population Health Care Delivery Under Medicare’s Merit-based Incentive Payment System: Realigning Accountability With Capability

Adam S. Wilk, PhD; and Sanjula Jain, PhD
Current population health efforts have been hampered by the misalignment of accountability. Thus, population health management will improve when shared accountability among stakeholders is achieved.
ABSTRACT

Medicare’s Merit-based Incentive Payment System and other value-based payment systems hold providers accountable for population-level measures that are driven by many factors, including those beyond the providers’ direct control (eg, psychosocial stressors, environmental hazards). In this commentary, we identify and illustrate this misalignment of accountability and capability at the individual clinician level and at the provider organization level, which can hinder population health improvement. We also envision the roles of administrators and frontline clinicians amid a new culture of shared accountability and rigorous evaluation, with the potential to accelerate advances in population health care delivery.

The American Journal of Accountable Care. 2019;7(1):28-30

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