ACO model has barriers

Ninety percent of experts say financial interests and misaligned incentives will be barriers to a successful implementation of accountable care organization (ACOs), according to the Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey.

The survey asked for healthcare leaders’ views on barriers to such delivery system innova­tion and strategies for fostering more accountability and coordination among health care providers.  Key findings from the survey:

  • A majority of leaders support the development of integrated models of care delivery
  • More than eight of 10 leaders feel that developing per­formance metrics, implementing provisions to increase transparency and public reporting are important priorities
  • About half of the opinion leaders surveyed feel that giving patients incentives to join accountable care systems and providing infrastructure sup­port for ACO’s will be effective
  • Sixty-three percent of survey respondents support development of a national accreditation system for ACOs
  • Nearly three-quarters of opinion leaders are con­cerned about undue market power and dominance among provider groups

(Sources: The Commonwealth Fund Data Brief,, July 2010; The Advisory Board Daily Briefing,, July 27, 2010)