
米国医療法律家協会編:「責任ある医療組織(ACO)」 ハンドブック 第2版
The ACO Handbook: A Guide to Accountable Care Organizations, 2nd Edition
¥38,201
医療の質の向上とコスト削減を実現する仕組みとして、米国の医療制度改革の中でも特に注目を集めるACO(責任ある医療組織)のガイド。患者に対して包括的な医療ケアを提供し、治療及び金銭的な責任を負うACOについて、そのシステムの様々な構成要素を分析しています。
【主な内容】
ACOの成長と重要性/メディカルホーム改革提案/税務関連/医療情報技術/反トラスト関連/業績と質/認可と免許下付/ガバナンスと経営/州保険法/州法の影響/実績ベースの還付金割当モデル/医師の報酬評価/資本形成と価値評価基準/亜急性期医療機関/学術的医療センター/専門科ACO(小児科等)/ACOの受益者/コンプライアンス計画/ベストプラクティス、等
【Table of Contents】
1 The Growth and Importance of Accountable Care Organizations
2 Hospital/Physician Integration Models Before the ACA
3 The Financial Aspects of Accountable Care Organizations
4 The Applied Medical Home: A Recipe for Reform
5 ACOs: Fraud & Abuse Waivers and Analysis
6 Tax Implications of Accountable Care Organizations
7 Health Information Technology Issues for ACOs
8 ACOs and Their Antitrust Implications
9 Performance/Quality
10 Certification and Licensure
11 Governance and Management
12 ACOs and State Insurance Laws
13 How State Law Issues May Affect ACOs
14 Merit-Based Savings Distribution Models for Accountable Care Organizations
15 Physician Compensation Valuation in an ACO
16 Capital Formation and Value Metrics of ACOs
17 ACOs and Post Acute Providers
18 ACOs at Academic Medical Centers
19 Specialty ACOs: Pediatric ACOs for Medicaid Patients
20 Beneficiary Assignment: For Whose Care is the ACO Responsible?
21 ACO Compliance Planning: Considerations and Opportunities in an Emerging Regulatory Environment
22 Commercial Accountable Care Organizations: Experimentation and Best Practices
23 Accountable Care Organizations in the Medicaid Context: A Sixteen State Comparison
24 ACO Best Practices
25 Private Payor and Physician Perspectives on ACO Collaborations
26 ACO Credentialing