Montefiore Hospital, which serves one of the poorest urban populations in the country, is among the growing number of hospitals across the country experimenting with accountable care organizations (ACO).
According to an article in U.S. News & World Report, Montefiore has made many changes in order to improve care while reducing costs, including:
- 80 percent of physicians are salaried
- Montefiore has its own HMO
- Providing extensive community outreach, including diabetes education to patients
- Using electronic medical records system
- Patients with routine problems in the ER are sent to internists, who evaluate all their needs to prevent more serious problems and advise them on how to find a primary care physician
Policymakers express concern that this model will be more difficult to implement if physicians are not salaried. Another drawback is the current fee-for-service model.