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Rural Health
Resources by Topic: Accountable Care Organizations

Accountable Care Organizations: Looking Back and Moving Forward
Identifies key lessons from Accountable Care Organization (ACO) activities from their inception through 2015, examines how ACOs can build on successes, and informs policymakers and others about ways to further the development of effective ACOs. Includes a brief overview of virtual and rural ACO development.
Author(s): Rob Houston, Tricia McGinnis
Date: 01/2016
Sponsoring organization: Center for Health Care Strategies
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Rural Accountable Care Guide: Preparing Rural Health for the Approaching Accountable Care Era
A practical guide for healthcare providers and administrators to the successful creation of an ACO in a rural community. Identifies the eight essential elements of an ACO and discusses how to implement an ACO in a rural setting.
Date: 2016
Sponsoring organization: Toward Accountable Care Consortium and Initiative (TAC)
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ACO Investment Model, Rural Hospital Collaboration
Highlights how 3 rural Minnesota hospitals implemented the Accountable Care Organization Investment Model (AIM), which encourages coordinated care in rural areas through upfront and ongoing Centers for Medicare & Medicaid Services (CMS) payments.
Date: 2016
Sponsoring organization: American Hospital Association Rural Health Services
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Primary Care Clinics and Accountable Care Organizations
Presents the findings of a survey sent to 257 Rural Health Clinics (RHCs) in 9 states asking clinical management about their participation in Accountable Care Organizations (ACOs), and their willingness to join an ACO.
Author(s): Judith Ortiz, Chiung-Ya Tang, Yi-Ling Lin, Maysoun D. Masri
Citation: Health Services Research and Managerial Epidemiology, 2015 (2)
Date: 10/2015
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State Actions to Promote and Restrain Commercial Accountable Care Organizations
Identifies actions state governments can take to promote the benefits of Accountable Care Organizations (ACOs) while mitigating potential risks. Discusses rural-specific concerns related to solvency and exclusivity provisions. Also examines state policy tools that regulate and support both providers and payers. Section 2 offers ACO policy guidance specific to California.
Author(s): Nicholas C. Petris Center on Health Care Markets and Consumer Welfare
Date: 10/2015
Sponsoring organization: University of California - Berkeley
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Participation of Rural Health Care Providers in Accountable Care Organizations: Early Indications
Describes the characteristics of Rural Health Clinics (RHCs) in the southeastern part of the U.S. and the populations they serve. Compares these traits to other regions in the country and how the differences may influence their decision to participate in an Accountable Care Organization (ACO).
Author(s): Judith Ortiz, Richard A. Hofler, Yi-Ling Lin, Richard Berzon
Citation: Health Care Management Review, 34(3), 255-264
Date: 07/2015
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State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report
Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, accountable care organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Date: 07/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Accountable Care Organizations: Benefits and Barriers as Perceived by Rural Health Clinic Management
Describes results of a survey, focus groups, and phone interviews with Rural Health Clinic (RHC) management personnel regarding benefits of and barriers to RHC participation in Accountable Care Organizations.
Author(s): Judith Ortiz, Angeline Bushy, Yue Zhou, Hong Zhang
Citation: Rural and Remote Health, 13(2), 2417
Date: 06/2013
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Traverse City, Michigan, June 15-17, 2011
Provides a summary of the National Advisory Committee on Rural Health and Human Services' (NACRHHS) 68th meeting, which included discussions on the following topics: rural health in Michigan, the Affordable Care Act's value-based purchasing demonstrations for rural hospitals, primary care training and placement, and aging.
Date: 06/2011
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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The 2011 Report to the Secretary: Rural Health and Human Services Issues
Report to the Secretary of the U.S. Department of Health and Human Services focused on rural childhood obesity, place-based initiatives for rural early childhood development, and rural implications of accountable care organizations and payment bundling. Includes recommendations to address these issues and provides appendices describing the 2010 site visits.
Date: 03/2011
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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