Accountable Care Organizations Case Studies

Accountable Care Organizations (ACOs) have been heralded as a promising model for improving the quality of care and reducing unnecessary costs through coordination and collaboration among providers. The concept envisions a transformation in the way that care is organized and delivered across the continuum. The following reports share the experiences and lessons learned from four organizations that have embarked on this journey.

The Work Ahead: Activities and Costs to Develop an Accountable Care Organization
This report identifies a total of 23 different capabilities that must be developed across four categories to achieve this transformation: 1) network development and management; 2) care coordination, quality improvement and utilization management; 3) clinical information systems; and 4) data analytics. The costs associated with developing these capabilities range from $5.3 to $12.0 million for two prototype ACOs. The AHA called attention to the discrepancy between these findings and the Centers for Medicare and Medicaid Services' (CMS) proposed rule estimates of the required level of investment in a Letter to administrator Donald Berwick, M.D., M.P.P.

Letter: AHA To CMS Administrator, Donald Berwick, M.D., M.P.P.

AHA Press Release: New Study Finds the Start Up Costs of Establishing an ACO to be Significant

From Volume to Value: The Transition to Accountable Care Organizations
This report provides a synthesis of the issues and challenges encountered by the four organizations as they have positioned themselves to be accountable for the care of defined populations.


Individual Case Studies:




Related Resources

Webinar Recordings
FTC Provider-Merger Enforcement: Webinar recording from June 19, 2018 with Crowell & Moring
AHA responds to the CMS Request for Information on direct provider contracting.
The American Hospital Association supports H.R. 5645, the Standard Merger and Acquisition Reviews Through Equal Rules Act of 2018, also known as the SMARTER…
As our member hospitals and health systems continue to look for new ways to address the challenges of affordability and to promote value in the pub
This is the second in a series of issue briefs highlighting data from the 2016 AHA Annual Survey Information Technology (IT) Supplement for community hospitals…