California Organization Says Health Reform Should Use Integrated Model

National health care reform should be based on “accountable care organizations,” integrated delivery systems currently used in California that link primary care and subspecialist practices with area hospitals, according to a release from California Association of Physician Groups.

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The association, which represents medical groups that employ or contract with nearly 60,000 California doctors for care, said ACOs should be fully adopted rather than used in a pilot project, as some in Congress have proposed.

The association says ACOs would control costs by “transcending” fee-for-service reimbursements and emphasizing outcome-based medicine and adoption of health information technology.

ACOs are said to be akin to the “patient-centered medical home,” in which a primary care physician acts as a kind of “gatekeeper” for patients, deciding whether they need diagnostic tests and specialists’ services.

Read the California Association of Physician Groups’ release on accountable care organizations.

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