By: Mike Nugent and Marc A. Bard, MD
Is the ACO strategy right for your organization?
Accountable Care Organizations: Your Guide to Strategy, Design, and Implementation will help you understand the ACO framework and assess your readiness to embark on an ACO strategy. This book provides the structural blueprints, management skills, and cultural tools necessary to implement a successful ACO. Practical advice is bolstered with real world examples of leading healthcare providers that are pioneers in the rapidly changing world of accountable care.
Accountable Care Organizations: Your Guide to Strategy, Design, and Implementation is designed to facilitate critical conversations and decisions at all stages of the ACO development journey. Explore processes and structures and learn how to implement pilots to shape your own ACO delivery model. Each chapter includes takeaway points and tailored action steps for:
- Organizations interested in exploring the ACO concept
- Organizations taking the first steps toward an ACO model
- Organizations already moving full speed ahead.
This book will help you answer these questions and more:
- What does it take to become an ACO?
- What steps and actions should your organization take to implement an ACO strategy?
- How can organizational culture support your move to accountable care?
- How can you build a business plan to support an ACO strategy?
- What information technology is needed to implement an ACO strategy?
- How can an emerging ACO best negotiate with third-party payers?
"America is dealing with a broken healthcare system. It's up to us (providers, consumers, the government) to restructure the system so we can be accountable for the totality of care. [This book] takes a hard look at what it takes to design and implement an effective accountable care organization," says David L. Bernd, Chief Executive Officer, Sentara Healthcare.
"There is no question that we need to re-examine the healthcare delivery system in our country so it is coordinated, efficient, and effective. Bard and Nugent offer a thoughtful and insightful examination of one approach, the ACO. Those organizations considering ACO development will find this book provides an in-depth road map to guide and shape their thinking." Gary Gottlieb, MD, MBA, Chief Executive Officer, Partners HealthCare.
"[This book] is highly relevant for all of us who are committed to sharing responsibility for making quality healthcare affordable. The authors describe the strategies, functions, and behaviors that will contribute to the success of hospitals and physicians in the era of healthcare reform," says Andrew Dreyfus, President and Chief Executive Officer, Blue Cross Blue Shield of Massachusetts.
"The authors have done a wonderful job elucidating the complexities of the U.S. health system, or 'ecosystem' as they call it. Upon that background they explain the need for delivery system reforms and show how one-size does not fit all. Drawing upon their extensive experience, they introduce the possibilities and issues for developing ACOs and making them work. This book will be invaluable for healthcare leaders seeking to create, improve, or just understand how healthcare can become more accountable and offer greater value to all who use it," says Stephen C. Schoenbaum, MD, MPH, Former Executive Vice President, The Commonwealth Fund.
About the AuthorsMike Nugent is the director and leader of Navigant's Managed Care Pricing team. With nearly 20 years in the healthcare payer and provider industry, Mr. Nugent is an expert and nationally recognized writer, speaker and advisor in the area of pricing, managed-care contracting strategy, negotiations, and front-end revenue-cycle innovations.
Marc Bard, MD, is chief innovation officer of Navigant's Healthcare practice. Dr. Bard practiced internal medicine for eighteen years at Harvard Community Health Plan (HCHP) where he also served as chief of internal medicine and director of medical staff development. Dr. Bard oversaw HCHP's transition from one of the first model HMOs through mergers with MultiGroup and Pilgrim Health Care that eventually transformed it into Harvard Pilgrim Health Care.