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November 2014Take-Home Points
- Robust data collection might be expensive, but it is the key to successful ACO participation.
- Even though the spotlight for cost cutting is not on otolaryngology, now is a good time for otolaryngologists to pay attention so they are ready for change that could eventually come.
- The approach to care in an ACO raises important ethical questions about caring for an individual versus caring for a population.
Points to Consider When Joining an ACO
- Physician-led ACOs lead to better collaboration and trust.
- The savings and revenue from ACOs should be fair and equitable, and terms are negotiable.
- Resources should be set aside up front for ACO development as a buffer for physician risk, start-up costs, and uncertainty.
- New duties and heightened standards of care raise the potential for liability.
- When drafting contracts, avoid “exclusionary” and “all products” terms.
Source: Gavin Setzen, MD