Are ACOs Accountable?

A new study showed that:

Only 28% of ACOs formed in 2012 have taken on downside risk, while just 33% had at least one contract with downside risk in 2018, according to a new study published in Health Affairs.

So, correct me if I am wrong but if 72% of these Accountable Care Organizations take no downside risk then are they really accountable?

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “Are ACOs Accountable?

  1. Michele C Parker
    July 13, 2019 at 12:50 pm

    By allowing ACO physicians to join without downside is just the usual tactic of boiling physician frogs by starting in cold water and then cranking up the heat. When will we ever learn?

    Also their definition of “accountable” is not mine. They want financial accountability (less duplication of tests etc). These issues are no brainers which go away when you stop fragmenting care and give physicians time they need with patients to search out previous test results.

    The real accountability comes from having a personal physician who has your back, who provides easy access, attention, time, and tries to save you money on prescriptions and labs/xrays. Just like you find in Direct Primary Care. CMS is barking up the wrong tree, again, and trying to rape doctors in the process.

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