University of Michigan Case Study: The Physician Group Practice Demonstration

摘要: A fundamental question in health policy is how the newly forming Accountable Care Organizations (ACO) will achieve high quality and efficient care for patients populations. ACO’s have been operating about 2 years information beginning to be released their performance. However, there several of from an important precursor Medicare – Physician Group Practice Demonstration (PGPD)2. The University Michigan (UM) was one 10 large physician organizations that participated PGPD 2005–2010, achieved shared savings all 5 years. UM integrated academic healthcare system with experience managed clinical governance integration a unified EMR. For PGPD, implemented numerous transitional coordination activities. characteristics interventions were probably “bending curve”. In addition, attribution sicker by multispecialty group instead just primary physicians, presence skilled specialists generalists who are comfortable caring sick patients, employed faculty physicians mission, may also contributed. Future performance many different types systems participating ACO programs very well point configurations, including Academic Healthcare Systems, which can patient care.