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Providers, Societies Scrutinize the Playing Field for ACO Participation


 

The standards could be a "road map" for organizations to begin to build the capabilities to become an ACO, she said. "What we’ve done through these standards can help people understand what the important capabilities are and give them some direction about what are the things that they should be thinking about."

The NCQA recently concluded testing of its standards with 10 organizations that represent IPAs, multispecialty practice groups, and integrated delivery systems. One issue that came up during the testing is the importance of leadership within the ACO.

"We can define structural features that are important for [ACOs], but I think you cannot underestimate the importance of leadership and the cultural change toward patient centered care in forming these organizations," she said.

The Affordable Care Act also includes a pediatric ACO demonstration project that allows states to award incentive payments through the Medicaid program. That project is also expected to launch next year.

Alicia Ault, Frances Correa, and Naseem Miller contributed to this report.

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