At today’s National Accountable Care Organization Congress, Harold Miller of the Center for Healthcare Quality and Payment Reform was the first plenary speaker to voice skepticism over the model of accountable care organizations (to the applause of some of the 1,100 participants in attendance).  Miller has written on his doubts about the model and emphasized that there are alternate models for payment reform and quality improvement such as “accountable medical homes”, “episode payments with warranties” and condition-adjusted capitation or risk-adjusted global fees.  The latter two of these concepts are explained in this policy brief: 

Link to Original Source

The Center for Healthcare Quality and Payment Reform has published a policy brief on the limitations of “shared savings”: 

Link to Original Source

A more detailed policy report on accountable care organizations also is available: 

Link to Original Source

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