United States Must Promote The Creation Of Accountable Care Organizations

The U.S. Health system spends a higher portion of its gross domestic product than any other country but ranks 37 out of 191 countries according to its performance.” (WHO, 2000, p. 1) Progression in the United States has not kept up with the advances in other wealthy nations dealing with the population health. Disease and chronic disability report almost 50% of America health problem (JAMA, 2013).

The United States health care system ranks 37th in the world. Statistically, it’s bizarre how United States is amongst one of the most advanced nations in the world and the fact that it spends more on its healthcare

According to Schroeder “ the United States spends more on health care than any other nation in the world, but ranks poorly on every measure of health status” ( Schroeder,1). Schroeder discussed the two main reasons why the United States ranks so poorly on every measure of the health system. One of the reasons for the low ranking in the American health system is “the pathways to better health do not generally depend on better health care” (Schroeder, 1); the fact that we have access to advance tools and technologies in our health care system does not necessary mean that we are healthier than other countries. Determinants such as behaviors patterns, environmental exposures and social circumstances also greatly influence our health.

This paper will discuss what the Accountable Care Organization is, why did Congress include it in their law, benefits and challenges for physicians and patients, and how does the ACO work for patients. We will also identify the quantitative methods in the ACO and reflect on the information provided.

According to the Garber & Skinner (2008), the United States spends more on health care than other nations but continues to score below other nations in numerous areas of measurement. These scores in, consideration with amount spent, suggest that healthcare is the United States is inefficient. Additionally, the United States has a significantly large portion of under

Contrary to what many people believe, America’s health status is not quite “up-to-par,” to say the least. Over forty-seven million people in the United States lack health insurance; that is more than 15% of our nation’s population! At first this disturbing truth seems impossible to believe, being as America is one of the most technologically advanced and economically developed countries in the world. “We spend trillions of dollars per year on medical care. That’s nearly half of all the health dollars spent in the world. But we’ve seen our statistics. We live shorter, often sicker lives than almost every other industrialized nation. “We rank 30th in [global] life expectancy” (Adelman 2008). Knowing this brings rise to the question: why are

The single most important impetus for healthcare reform throughout recent history has been rising costs (Sultz, 2006). In the book called The healing of America: a global quest for better, cheaper, and fairer health care, Reid wrote that the nation’s health care system has become excessively expensive, ineffective, and unjust. Among the world’s developed nations, the US ranks near the bottom for healthcare access and quality. However, the US ranks at the top for health expenditure as a percentage of the Gross Domestic Product (GDP) and average of $7,400 per person (Reid, 2010). Therefore, Americans are spending

​Kaiser Health News recently published an article on a new trend in healthcare. This trend introduces the Accountable Care Organization (ACO). The Centers for Medicare and Medicaid services defines it as “groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients” (“Accountable Care Organization,” 2015). According to the Affordable Care Act (ACA), the goal of the ACO is to be able to share health cost-savings with providers who are able to save money by eliminating unnecessary procedures and reduce health costs while increasing quality of care. ACOs make health professionals become more accountable in maintaining good-quality, coordinated healthcare for a patient through a value-based system that is evaluated through a number of criteria and benchmarks (Ronai, 2011).

Consequently the U.S. spends more money than any other country on health care, and the medical care that is being provided may be compromised. Research has shown that the lack of health care insurance compromises a person’s health. However, there continues to be unnecessary death every year in the U.S. due to lack of health care

The American health care system has been victim to an escalation in the prices of health care services juxtaposed with inefficiency in delivery of care services. There has even been cases where State spending on the actual health care increased dramatically in the United States and one of the key components of curbing this problem which has been prevalent over the mass media and has been a major discussion among physicians is the advent of Accountable Care Organizations. Accountable Care Organizations (ACOs) is structured with the goal of trying to improve health care delivery and aid in the reduction of the overall cost of services (Weissert & Weissert, 2012). If there is insufficient coordination of high quality care delivery in the health care industry, this will have a negative impact on patient safety and diminish affordable care for patients. Hence, the development of ACOs is envisioned to be the savior of medical practices and can improve the overall fabric of the American society (Bresnick, 2013). ACOs serves as one of the answers for curbing the problem of high costs, low quality care and possible segmented delivery and as much as it serve as the major determinant for improvement in patient satisfaction, there are minor

In McAllen, home to the United States’ highest healthcare costs, many citizens do not consume nutritious food and do not follow preventive medicine. However, this does not explain the high healthcare costs because El Paso, a city with public health measures similar to those of McAllen, spends about half as much. The high cost of healthcare in McAllen, despite the advanced technology used in hospitals, does not suggest that it offers superior services. The fact of the matter is that there is overutilization of medicine in McAllen, and thus Medicare spends exorbitant amounts of money per capita. Upon investigating the reason behind this, author Atul Gawande claims that the high costs in McAllen are attributed to doctors who see patients as a source of profit. Although doctors like this exist in many parts of the country such as in El Paso, a majority of McAllen’s doctors seem to be driven by profit maximization rather than the needs of the patient. As a result, they order more tests and perform procedures even when they are not essential. Rather than focusing on patient education and prevention strategies, a large percentage of McAllen’s doctors focus on medical procedures. That is, healthcare in McAllen is primarily based on the biomedical model, and avoids the holistic approach.

Many would argue that here, in the United States, we have the best healthcare in the world. We benefit from the most up to date medical technologies, medications, and services. People come from every corner of the world to take advantage of our top notch physicians and facilities. But is this reputation warranted, and if so, at what cost? The average annual cost per US resident is $7,681; this comprises 16.2% of our gross domestic product. These costs rank us among the highest of industrialized nations (Lundy, 2010). Does this high expenditure equate to better outcomes? According to the National Scorecard on US Health System Performance (2008), the US received a 65 out of 100 possible points.

Accountable care organizations are what I believe is very essential. Accountable care organizations includes doctors, hospitals, and other health care providers that all volunteer to come together and give quality health care to their Medicare patients. I have volunteered at a community healthy care center that was solemnly volunteered based. Organizations that are mostly based on people volunteering to come together for a better cause especially health care related is hard to find. Doctors are the main shortage in this type of organization because they are so busy with their practice or normal patients that it is hard for them to find the time to help out communities.

Steven Brill feels that American health care is eating away at our economy and our treasury and discusses the costs associated with the provision of health care services in the U.S.. The article explores the medical world through the medical expenses incurred by a 64-year-old Janice S., Sean Recchi, A 42-year-old from Lancaster, Ohio and several other egregiously billed patients. The article poses the question: why exactly are the medical bills so high; in particular hospital bills?

“ Health costs are eating up an ever increasingly share of american incomes.” (source 2) The average hospital cost to treat diseases are around $21,000 and total health care expenses cost around $879 billion. Health care is overly priced and stresses adults in the U.S, and overwhelms them.