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Past Event

Reforming Provider Payment: Moving Toward Accountability for Quality and Value

As Congress and the Obama administration begin to push for health care reform, they will have to address realigning provider payment incentives to drive changes in the way health care is delivered in the United States. One such concept that could help do this is the Brookings-Dartmouth proposal for Accountable Care Organizations (ACO).

A policy forum on March 11 at the Brookings Institution focused on the need for payment reform and, specifically, the ACO model. This model provides a framework for increased accountability accompanied by new financial support for better ways of delivering care. ACOs work by organizing voluntary hospital and physician networks and by rewarding providers with shared savings in return for greater care coordination or other steps to improve quality and lower cost growth.

Sponsored by the Engelberg Center for Health Care Reform at Brookings and the Dartmouth Institute for Health Policy and Clinical Practice, the forum provided a thorough introduction to accountable care payment reforms and strategies. Panelists from a range of perspectives examined how ACOs can improve health care value, described how they can be adopted by both Medicare and the private sector, and highlighted key implementation challenges. In addition, Mark McClellan and Elliott Fisher introduced a plan for developing and providing technical support for ACO pilots in several areas of the country. 

Meeting Materials

Agenda

Welcome and Introduction

Mark B. McClellan

Former Brookings Expert

Director, Margolis Center for Health Policy - Duke University

Overview: The Urgent Need for Payment Reform

Mark B. McClellan

Former Brookings Expert

Director, Margolis Center for Health Policy - Duke University

Panel One: Laying Out the ACO Model (Could It Work?)

Mark B. McClellan

Former Brookings Expert

Director, Margolis Center for Health Policy - Duke University

Tom Priselac

President and CEO - Cedars-Sinai Medical Center

The President's Health Care Reform Agenda

Mark B. McClellan

Former Brookings Expert

Director, Margolis Center for Health Policy - Duke University

Panel 2: Getting Into the Details

Frank Opelka

Medical Director for Quality and Health Policy, Division of Advocacy and Health Policy - American College of Surgeons

Panel 3: Moving Toward Greater Accountability for Overall Cost and Quality

Next Steps

Mark B. McClellan

Former Brookings Expert

Director, Margolis Center for Health Policy - Duke University

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