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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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Resource Overview

This section provides those who are relatively new to value based payment with a strong foundation and vocabulary for discussing strategies and opportunities with their boards, staff, payers, and policy-makers.

Value Based Payment Basics

The ACO Conundrum
John Snow, Inc.
/ Categories: Value Based Payment, Engaging in Value Based Payment Models

The ACO Conundrum

Safety-Net Hospitals in the Era of Accountable Care

Serving a similar disenfranchised population, safety net hospitals can be a natural fit with health centers seeking the improve the health care system. This paper provides a unique perspective from safety net hospitals facing the conundrum of adding value to the health care system with the ACO model while taking losses for reducing inpatient days, emergency room visits, and imaging services. Funded by the Robert Wood Johnson Foundation, this paper drafted by John Snow, Inc. and Bailit Health, discusses the role health centers have played for safety net hospitals navigating accountable care development efforts.  The paper highlights efforts from four safety net hospital systems: AltaMed Health Care Services in Los Angeles, CA; Baystate Health in Springfield, MA; Commonwealth Care Alliance in Boston, MA; and Hennepin Health in Minneapolis, MN.

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Tags: valueevidence datahealth centers researchAltaMed Health Care Services-CABaystate Health-MACommonwealth Care Alliance-MAHennepin Health-MN

Resource Links

  • Link to the original ACO Conundrum documentThe following conundrum emerged as a significant challenge: if the promise of ACOs proves successful, the result will be reduced hospital revenues resulting primarily from the reduction of inpatient days, emergency department utilization, and technical fees associated with imaging and outpatient procedures. This prospect leaves hospitals, especially those already operating on low Medicaid reimbursement rates and decreasing Disproportionate Share Hospital (DSH) funds, facing a future where fewer
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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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