Physician-hospital organizations (PHOs) have taken the accountable care organization (ACO) reins from physicians over the last year, according to 2013 market data from the Healthcare Intelligence Network.
PHO leadership of ACOs almost doubled in the last 12 months, according to 138 healthcare organizations who completed HIN’s third annual survey on ACOs.
Twenty-eight percent of responding ACOs are led by PHOs in 2013, up from 15 percent one year ago. In 2012, one-quarter of ACOs were physician-led, a trend that replaced the hospital-administered ACOs that dominated in 2011.
As ACOs continue to evolve, the composition of the care delivery model will shift as well, with hospice, long-term care and home health entering the fray.
Other key findings from the report include the following:
- The number of ACOs that include hospices more than doubled in the last 12 months.
- As fledgling ACOs recognize specialists as primary coordinators of care for the elderly, participation by these providers rose from 67 percent in 2012 to 71 percent this year.
- All responding ACOs are using electronic health records (EHRs) and 62 percent of this year’s respondents offer a patient portal to its members and patients where they can monitor and manage health.
- Patient engagement is weighted more heavily when evaluating ACO success in 2013.
Despite increased participation, staff and management buy-in continues to be the greatest challenge of ACO development in 2013 — a hurdle reported by almost a quarter of 2013 respondents.
More results from the survey are available in the latest HINtelligence report, Accountable Care Organizations in 2013: ACO Leadership Shifts to PHOs, a complimentary downloadable HIN white paper.
Source: Healthcare Intelligence Network (HIN) , September 19, 2013
2013 Healthcare Benchmarks: Accountable Care Organizations documents the numerous ways in which accountable care is transforming healthcare delivery, particularly in the area of care coordination, where the ACO model has had the greatest impact for this year’s respondents.