... information. However, financial accounting elements in the MCR are unreliable,poorly defined, and lacking in critical detail. Comparative analyses of MCRs and matched, audited financial statements reveal long-standing problems with the MCR's data, including major differences in reported profits; variations...

... section evaluates the PSRO program as a complete delegation of congressional authority and a failure of Congress to set any rules for the development and application of norms and standards. The lack of any mechanism for accountability of the PSROs to public values and choices is emphasized. Copyright ©...

...James Warner Bjorkman; Christa Altenstetter This paper presents a critical evaluation of several theories of accountability and their applicability to health care concerns. The authors first provide a preliminary refinement of the imprecise concept of accountability itself and then examine four...

...Richard M. Scheffler Abstract Will accountable care organizations (ACOs) deliver high-quality care at lower costs? Or will their potential market power lead to higher prices and lower quality? ACOs appear in various forms and structures with financial and clinical integration at their core; however...

... will cripple the state and federal budgets and slow economic growth in other sectors in the years to come. Accountable care organizations (ACOs) and insurer formation of narrow provider networks are two oft-discussed policies to reduce costs, with both having been implemented to some degree in practice...

... payers are experimenting with payment systems that combine the basic element of FFS — a fee for each service — with arrangements that allow providers to share the savings if they hold total spending per patient below a targeted amount. Medicare's accountable care organizations (ACOs) embody the shared...

...Thomas D'Aunno; Peter D. Friedmann; Qixuan Chen; Donna M. Wilson Abstract To meet their aims of managing population health to improve the quality and cost of health care in the United States, accountable care organizations (ACOs) will need to focus on coordinating care for individuals...

...Lawrence P. Casalino; Natalie Erb; Maulik S. Joshi; Stephen M. Shortell Abstract Accountable care organizations (ACOs) and hospitals are investing in improving “population health,” by which they nearly always mean the health of the “population” of patients “attributed” by Medicare, Medicaid...

... not impede accountable care organizations (ACOs) and similar collaborations that advance these same goals of better and more efficient care; in fact, by fostering competitive markets, the antitrust laws encourage such initiatives. This article summarizes the legal framework that the federal antitrust...

...Daniel M. Fox Copyright © 2015 by Duke University Press 2015 The purpose of this commentary is to describe how regulations for the accountability of accountable care organizations (ACOs) could reduce patients' risks of receiving care that is unsafe and of inferior quality by addressing more...

... complex and loosely coupled networks. In this latest stage,there is a risk that some important features of democratic leadership, and of decision making in the health care arena, will be eclipsed. Accountability mechanisms must clearly locate responsibility for actions and must allow for the exercise...

...Mark A. Hall E. Haavi Morreim. Holding Health Care Accountable: Law and the New Medical Marketplace . New York: Oxford University Press, 2001. 320 pp.$49.95 cloth. © 2003 by Duke University Press 2003 Agrawal, Gail B., and Mark A. Hall. In press. What If YouCould Sue Your HMO...

... Health Accounts and Communicative Power Sandra J. Tanenbaum Ohio State University In their articles in this issue of JHPPL, Donald Light, Ezekiel Emanuel and Linda Emanuel, and David...

...Jason Barabas Scholars suspect that public policies affect public opinion, but the empirical evidence is mixed, and contemporary theories advance offsetting predictions. This study examines two allegedly similar private investment account programs that differ in politically relevant ways...

...Marc A. Rodwin Bradford A. Gray. The Profit Motive and Patient Care: The Changing Accountability of Doctors and Hospitals. Cambridge, MA: Harvard University Press, 1991 440 pp. $37.50 cloth. Copyright © 1991 by Duke University Press 1991...

... Report from the Field General Practice Fundholding in the British National Health Service Reform, 1991–1997: GP Accounts of the Dynamics of Change George L. Maddox...

...Michael D. Barr With the United States currently experimenting with medical savings accounts (MSAs), it is appropriate to revisit the Singapore experience, where the practice has been in place for a decade and half. Singapore runs a modern,effective health system at a fraction of the cost of most...

...Mark V. Pauly © 2001 by Duke University Press 2001 JHPPL 26.4-04 Pauly 7/20/01 3:37 PM Page 727 Commentary Medical Savings Accounts in Singapore: What Can We Know...

...William C. Hsiao © 2001 by Duke University Press 2001 American Academy of Actuaries. 1995 . Medical Savings Accounts: Cost Implications and Design Issues . Public Policy Monograph. Washington, DC: American Academy of Actuaries. Central Provident Fund, Republic of Singapore. 1999...

...Peter J. Hammer Managed care presents the paradox of organizations having real power over people's lives without there being clear or consistent means of ensuring accountability. In Pegram v. Herdrich , the United States Supreme Court struggled with whether “fiduciary duties” under the federal...