What is an Accountable Care Organization (ACO)?

What is an Accountable Care Organization (ACO)?

An Accountable Care Organization (ACO) is a group of health care providers who work to deliver coordinated care and are collectively accountable for the cost and quality of care.

ACOs have the potential to improve the quality of care and lower costs.

To show success, ACOs must report on specific quality measures. More than half of the measures are impacted by medication use

  • Blood Pressure Control
  • Blood Sugar Controls
  • Cholesterol Levels
  • Asthma Epidsodes

But, are ACOs ready to use medications in achieving those goals?

Key indicators of ACO capabilities show the answer is Yes and NO

Yes, many ACOs can:

  • 70% Send Rx electronically
  • 54% Merge medical & Rx data into one database
  • 50% Promote appropriate use of generics

But many ACOs aren't:

  • 7% Calculating cost offsets of medications
  • 9% Notifying a physician when a presciption is filled
  • 17% Using protocols to avoid medication duplication or polypharmacy
  • 22% Using quality metrics for a diversity of conditions

How are ACOs using medication to improve care and drive down costs? Stay tuned for a series of case studies to be published in the Journal of Managed Care Pharmacy

Source: Dubois RW, Feldman M, Lustig A, KortzbauerG, Penso J, Pope SD, Westrich KD. Are ACOs Ready to be Accoutable for Medication Use? J Manag Care Pharm. 2014;20(1):17-21.

National Pharaceutical Council, AMGA - American Medical Group Association, Premier

Embed this infographic on your site

Download the Infographic PDF

What is an Accountable Care Organization? PDF
Blog Post

NPC’s Dr. Dubois Answers: Are ACOs Ready to Manage Medications?

NPC Chief Science Officer Robert Dubois, MD, PhD, will present recommendations on how to optimally use medications to achieve success in value-based...
Newsletter Volume

E.V.I.dently January 2016

MessageThe Importance of Evidence, Value, Access and Innovation in 2016In his annual health care outlook, NPC President Dan Leonard explains why...
Blog Post

CER Tweets of the Week: JCER Editorial on Treatment Sequences in Oncology; JNCCN Discusses CER Database Analyses (December 14-18, 2015)

What were comparative effectiveness research (CER) stakeholders talking about on Twitter this week? Popular topics included the Journal of...
Blog Post

#TBT: Risk-Sharing Agreements & Innovative Payment & Delivery Models

As part of our Throwback Thursday blog series, we’re taking a look at a topic that’s currently in the news and tagging it with previous research...
Press Release

Improving Patient Outcomes and Costs in an ACO Through Comprehensive Medication Therapy Management

Washington, D.C. (December 4, 2014)—A case study published in the December 2014 issue of the Journal of Managed Care & Specialty Pharmacy...
Press Release

National Pharmaceutical Council, Discern Health Examine Accountable Care Measures for Specialty Care and Innovative Treatment

Washington, DC (October 28, 2014)— Measuring the quality and cost of health care is an integral part of accountable care, but new research from the...
Press Release

New Peer-Reviewed Study Shows Mixed Results in ACO Medication Readiness To Achieve Quality, Cost Goals

Washington, D.C.—As Accountable Care Organizations (ACOs) gain traction among both private and public payers, so do expectations that these networks...
Press Release

Pharmaceuticals Play Key Role in Achieving ACO Quality, Cost Goals

WASHINGTON, DC, July 18, 2012–As health care providers set up accountable care organizations (ACOs) and other value-based care programs,...
Commentary and Testimony Page

Chain Drug Review – Commentary: “Health Care Outlook for 2015”

This commentary was originally published in the January 5, 2015 issue of Chain Drug Review.By: Dan Leonard, President, National Pharmaceutical...
Commentary and Testimony Page

Medicare Part D, Adherence, and the Value of Pharmaceuticals

Before enactment of the health care reform legislation two years ago, the most significant change in the health care landscape over the past decade...
Commentary and Testimony Page

Proposed ACO Rules Raising More Questions Than Answers

This month, Washington, DC, has been buzzing about “ACOs” – accountable care organizations – now that the Centers for Medicare and Medicaid Services...
Commentary and Testimony Page

What Will 2011 Hold for CER and PCORI?

When future historians consider health care, they may well look back on 2010 as a watershed year in America. The issues and events that occurred last...
YouTube Videos

Mind the Gap: Improving Quality Measurement in Accountable Care Systems

The National Pharmaceutical Council's (NPC) webinar, Mind the Gap: Improving Quality Measurement in Accountable Care Systems, was moderated by...
YouTube Videos

Accountable Care Measures for High-Cost Specialty Care and Innovative Treatment

Tom Valuck, MD, MHSA, JD, partner, Discern Health, is a co-author of the white paper "Accountable Care Measures for High-Cost Specialty Care and...
YouTube Videos

A Modular Approach for Quality Measurement

Tom Valuck, MD, MHSA, JD, partner, Discern Health, explains that in some cases, it may not be feasible to assess quality for a specific patient...
YouTube Videos

Quality Measurement Gaps in Accountable Care

Tom Valuck, MD, MHSA, JD, partner, Discern Health, describes both the gaps in quality measurement (e.g., outcome measures, cross-cutting measures,...
Blog Post

NPC’s Dr. Dubois Answers: Are ACOs Ready to Manage Medications?

NPC Chief Science Officer Robert Dubois, MD, PhD, will present recommendations on how to optimally use medications to achieve success in value-based...
Blog Post

CER Tweets of the Week: JCER Editorial on Treatment Sequences in Oncology; JNCCN Discusses CER Database Analyses (December 14-18, 2015)

What were comparative effectiveness research (CER) stakeholders talking about on Twitter this week? Popular topics included the Journal of...
Blog Post

#TBT: Risk-Sharing Agreements & Innovative Payment & Delivery Models

As part of our Throwback Thursday blog series, we’re taking a look at a topic that’s currently in the news and tagging it with previous research...
Blog Post

Improving Patient Safety Using an Electronic Drug Safety Alert Program: Addressing Gaps Identified in AMGA/Premier/NPC’s Initial Readiness Assessment

When the American Medical Group Association, Premier Inc., and NPC fielded a readiness assessment examining accountable care organizations’ (ACO)...

Using an Electronic Medication Refill System to Improve Provider Productivity in an Accountable Care Setting

This case study highlights the critical components of Sharp Rees-Stealy Medical Group's electronic...

Solutions for Filling Gaps in Accountable Care Measure Sets

This peer-reviewed study, “Solutions for Filling Gaps in Accountable Care Measure Sets,” explores...

Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment

A peer-reviewed study, "Best Practices: An Electronic Drug Alert Program to Improve Patient Safety...
  •  
  • 1 of 3
  • >