Question

students explains the controversies of ACOs and identifies alternatives approachs in the health system

Answer 1

Controversies of ACOs

•Accountable Care organisation is a new method organised medical care and finance. But there are so many controversies in ACOs.

1) ACO leaders face so many problem to distribute the shared goal equally and also find difficulties in relocate resources.

2) it requires consent from patient which can sometime affect patient autonomy so proper guidance and explanation provide to the patient.

3) it can affect patient privacy because it is a share claims and health data between clinical practitioner, ACO leaders and bill payers. So it can affect patient privacy and confidentiality.

4) Involvement of many professionals might generates competition between them during shared accountability.

5) duration as well as responsibility also increase in ACO. Include issues generated due to accountability and also providing education to the patient as well as caregiver and payer.

6) it is very hard to make a fair decision based on ethical principles for patients and caregiver.

7) should be also concerned with patient and care provider positive obligation so need proper cost control and quality improvement.

Alternative approaches in the health system

•improving quality and lower the cost can demand upon patient disease condition whether it is acute or chronic which initiate use of advanced technologyand proper care professionals . This will intend to provide good and quality care to the patient with reduced cost chronic patient which reduce readmission. We can call it medical home also.

•bundle payment in which patient can collectively for intensive procedure together with discounts .This can work as collaboration between surgeons and hospitals.

•this alternative is very helpful which we called pay for performance in which pair pe according to the performance of the practitioner and the quality of care provided by them.