Rapid accountable care organization developments may offset the model’s intended benefits and reap problems with transparency, market power and higher prices for private sector consumers, according to a letter from the Pacific Business Group on Health — an organization representing a range of public sector employers in California.
The letter was written to Don Berwick, administrator of the Centers for Medicare and Medicaid Services. It proposes criteria for safe harbors and recommendations for mitigating cost shifts to private payors in ACOs. The letter also suggested ACO measures include cost and patient-experience benchmarks, which must be met in order to qualify for bonus payments.
PBGH represents Disney, General Electric, Boeing and University of California, among other organizations.
Read the full-length PBGH letter on ACO recommendations.
Read ACO recommendations from other healthcare organizations:
– 12 Organizations Offering CMS Recommendations on ACOs
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