
PDF version
of GatefoldINITIAL RESULTS:
In April 2013, Health Forum launched a survey to track and monitor the evolution of new systems of care, including accountable care organizations, medical homes and entities engaged in various payment and insurance models providing care to a population.
The 2013 survey covers:
- Care coordination and patient population efforts
- Payment models
- New models of care: patient-centered medical homes, clinically integrated networks, ACOs and combinations of those
- Section on ACOs: risk arrangements, governance, physician arrangements and more
These results will:
- Pinpoint which hospitals are leading, a part of, or planning to engage in a new care model
- Identify current and expected payment structures
- Establish a baseline for care coordination and patient population efforts
- Track physician relations and role with new models of care
About the Data
2011 Care Coordination Survey
Developed by the Health Research & Educational Trust and the Commonwealth Fund
Purpose: Assess the current state of hospital readiness in the development of accountable care organizations (ACOs)
Findings
- Small percentage (3%) of hospitals participating in an ACO
- Expect revenue sources from risk-based financial reimbursement to double over the next 2 years
- Majority of hospitals are actively engaged in a number of care coordination efforts
- Significant variation in care coordination functionalities
- ACO hospitals significantly involved in population health management services
- Key barriers in planning or being a part of an ACO
2013 Survey of Care Systems & Payment
Developed by AHA and Health Forum
Development
- Key questions included in other AHA surveys over the past few years to obtain baseline information
- 2011 Care Coordination Survey used as foundation to build upon
- Additional questions and wording to capture current landscape
Survey content
- Ability to provide integrated primary, acute, and post-acute services
- Care coordination and safe transition practices
- Ability to manage financial risk, receive bundle payment, and calculate and distribute shared savings
- Monitor and share performance data
ACO deep dive such as:
- Organization
- Risk arrangements
- Determining patient population
- Communication of clinical information to all providers/health information technology
- Ability to manage financial risk and calculate and distribute shared savings
Survey facts
- All U. S. community hospitals in April 2013
- Response to-date is 1,323 (27% response rate)
- Open, continuous survey with updated timely results