As healthcare providers consider structuring accountable care organizations, the nation's employer community wants to be sure they have a place in those discussions.
That was the message David Lansky, president and CEO of San Francisco-based Pacific Group on Health, gave to providers and other stakeholders Monday in Washington at the second annual ACO Summit co-sponsored by the Engelberg Center for Health Reform at the Brookings Institution and the Dartmouth Institute for Health Policy and Clinical Practice.
Lansky's group is a not-for-profit business coalition that represents 50 purchasers who spend about $12 billion annually to cover more than 3 million employees, retirees and dependents in California. In a panel discussion, Lansky said employers are “lukewarm” about the ACO concept and are taking a “show me” attitude, so the challenge for providers will be to demonstrate the kinds of performance that employers are hoping these models can produce. In calling for transparency, Lansky said employers will be evaluating the payment methodology of ACOs.
“Not the payment which is used to reward the ACO for its performance, but really what is the internal payment mechanism the ACO is using to drive improvement among its provider network,” Lansky said. “How is it using episodes or payment rewards with the provider community that is wrapped within that ACO to continuously reward care coordination, patient engagement, patient safety?” he added.