Insights

Characteristics of High-Value Providers for ACO Partnerships

As the health care industry moves toward population-based models of care, providers are seeking partnerships to help manage the continuum of services. In order to find success in these partnerships, there is a need to identify the characteristics of providers that will yield a high degree of value for the ACO, their patients, and community. This series of seven briefs—developed by Leavitt Partners with support from the Robert Wood Johnson Foundation—is designed to guide provider leadership on how to begin that evaluation process at a time when performance data is scarce and not always the best indicator of long-term compatibility.

Overview: Defining High-Value Partnerships for Accountable Care

This brief introduces the series by detailing the project’s core elements, including a decision-making framework and the domains of high value, which are referenced throughout the series.

Overview: Defining High-Value Partnerships for Accountable Care

Defining High-Value Primary Care Providers for ACO Partnerships

This brief offers recommendations for assessing primary care providers, a key contributor to all effective population health management. ACOs should identify primary care providers who are most likely to culturally align with value.

Defining High-Value Primary Care Providers for ACO Partnerships

Defining High-Value Hospitals for ACO Partnerships

This brief describes the characteristics of high-value hospitals, a critical partner with unique challenges in the transition to value. Important to this provider type is guidance for additional qualitative assessment after all available data has been analyzed.

Defining High-Value Hospitals for ACO Partnerships

Defining High-Value Specialists for ACO Partnerships

This brief includes guidance for evaluating specialist partners. Because these providers are more likely to be working with the most complex patients, they play a significant role in influencing the cost and quality of care.

Defining High-Value Specialists for ACO Partnerships

Defining High-Value Post-Acute Care Providers for ACO Partnerships

This brief describes the characteristics of high-value post-acute care providers, an essential partner for high-value care delivery and shown to significantly influence success under accountable care.

Defining High-Value Post-Acute Care Providers for ACO Partnerships

Defining High-Value Behavioral Health Providers for ACO Partnerships

This brief offers recommendations for evaluating behavioral health providers. Given the increasingly important role of behavioral health providers and their limited supply, ACOs assessing these providers should be less selective.

Defining High-Value Behavioral Health Providers for ACO Partnerships

Defining High-Value Pharmacists for ACO Partnerships

This brief discusses the characteristics of high-value pharmacy providers, including both retail and clinical. Pharmacy represents a significant area for cost-savings and quality improvement potential.

Defining High-Value Pharmacists for ACO Partnerships