Blueprint for ACO Success: Clinical, Quality and Compliance Considerations for an Accountable Care Organization

Accountable care organizations (ACOs) create integrated delivery systems that encourage teams of physicians, hospitals and other providers to collaboratively coordinate care for ACO members. Built into the ACO model is a business opportunity: provide a focal point of care while attaining health and cost containment goals. However, to ensure the ACO's fiscal health, its planners must construct a strong clinical foundation for the ACO while meeting state and federal legal, regulatory and compliance requirements for ACOs. This special report provides perspectives and lessons learned in both critical areas from two organizations already far along the path to ACO creation.