Alvarez & Marsal: 9 ACO Implementation Challenges

1. An Electronic Medical Record does not imply inter-operability, analytics, performance and risk management.
2. Primary care physicians remain overworked, underpaid and in short supply.
3. Managing the hospital-primary care-specialist conflict.
4. Care coordination and continuity remains daunting and time consuming for medically complex, co-morbid (MCC) patients.
5. Care variation is common within regional and local markets.
6. Excessive end-of-life care intervention.
7. Limited if any patient engagement in self-care.
8. Patient utilization of out-of-network specialists is allowed.
9. Regulatory and legal compliance requirements.

Source: Alvarez & Marsal/A&M Healthcare Insights, "The Good Intentions and Challenging Implementation of ACOs," October 29, 2013
Source URL: http://www.alvarezandmarsal.com/am-healthcare-insights-good-...

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