Accountable Care Organizations

Accountable Care Organizations (ACOs) is one of the new delivery and payment model designed to improve the quality of patient care while controlling healthcare cost. Despite its structure, ACO is believed that it should be accountable for the continuum of care for populations and be provider-led (Burns & Pauly, 2018). In addition, ACO should have payment methods to the provided incentive that lower costs and offer high-quality care. Besides, it is required that ACO engages in reliable measurements of performance techniques that ensure confidence in the care provided (World Health Organization, 2018).
Overview of Services and Initiatives for an ACO in Texas State
ACO evidence-based services/initiatives Matrix for Texas
Quality of care
The success was attributed to:
Obtaining buy-ins from physicians
The hiring of four nurse coordinators who cared for patients between their visits and the doctors
The building of robust health infrastructure that gave it data analytics needed by physicians to improve their performance, cut down wastage, and improve their performance.
As a result, the rates of admission of diabetes patients fell from 48.71 to 44.35% (Farias, 2019).
ACO hospitals are aligning their health information technology (HIT) with cost reduction and quality improvement strategic goals
ACO incentive can overcome meaningful use incentives thus, making hospitals to adopt technologies like exchange-oriented health and patient engagement health.
Texas hospitals consider adopting technologies that align their cost reduction and quality care improvement goals with their strategic goals.
Policymakers in Texas can consider aligning their meaningful use incentives with alternative payment and quality improvement models for hospitals, as it is done with eligible providers
Financial outcomes
In 2015, Rio Grande Valley Health Alliance (RGVHA) saved 14.2 million dollars with its population health approach and received $8.5 million translating to 75% of the money they saved in 2015 (Farias, 2019).
In 2017, they saved 9.8 million dollars and earned 6.8million dollars in return (Farias, 2019).
Population health programs
There is care coordination where nurse care coordinators visit or call their high-risk patients to intervene and prevent their conditions from worsening (“Accountable Care Organization Hospitals Differ in Health IT Capabilities”, 2019).
The care coordinators also focus on health determinants of their patients like missed dialysis session appointments, which lead to the realization that they lacked reliable transportation
Lyft and Uber were hired to take the patients to their appointments and ER visits, and hospital admissions were avoided in some cases.
As a result reduction of unplanned admissions has been realized, especially among congestion heart failure patients.
Electronic Health Records (EHR) has also been used to reconcile medication and provide physicians with a clear picture of drugs each patient is using (Farias, 2019).
Vertical versus horizontal integration
Vertical integration in the form of ownership of physician practices is associated with an increase in physician prices, per patient expenditure, and hospital prices.
Vertical integration can drive up cost without counterbalancing of utilization reduction.
Unlike horizontal integration, vertical integration can enhance market power and achieve increased efficiencies
Operational excellence
ACO realized that operational excellence would be achieved by increasing patient satisfaction, reducing cost, and improving patient care (Farias, 2019).
Therefore, the need for actionable and timely data to achieve the goal of obtaining reliable data on the performance of providers is important.
The use of electronic health records from hired and trusted vendors is important in obtaining and reconciling patient and providers data.
Through ease of reconciliation of information, physicians can get historical data of the patient and provide right intervention hence achieving operational excellence ((“Accountable Care Organization Hospitals Differ in Health IT Capabilities”, 2019).

Accountable Care Organization Hospitals Differ in Health IT Capabilities. (2019). Retrieved 21 July 2019, from
Farias, V. (2019). How Our Texas ACO Saved Medicare $14M with Population Health Approach. Retrieved 21 July 2019, from
World Health Organization, United States., France., & United States. (2018). WHO housing and health guidelines.
Burns, R., & Pauly, V. (2018). Transformation of the Health Care Industry: Curb Your Enthusiasm?. (Milbank quarterly.)

Need a custom paper ASAP?
We can do it today.
Tailored to your instructions. 0% plagiarism.
Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
Live Chat+1(978) 822-0999EmailWhatsApp

Order your essay today and save 20% with the discount code LEMONADE