Shifting Perspectives 

Accountable Care will require industry perspectives and health care delivery practices to shift:

  • from care providers working independently to collaborative teams of providers;
  • from treating individuals when they get sick to keeping groups of people healthy;
  • from emphasizing volumes to emphasizing outcomes;
  • from maximizing the use of resources and assets to applying appropriate levels of care at the right place;
  • from offering care at centralized facilities to providing care at sites convenient to patients;
  • from treating all patients the same to customizing health care for each patient;
  • from avoiding the sickest, chronically ill patients to providing special chronic care services;
  • from being responsible for those who seek services to being responsible for the needs of the community;
  • from putting forth best efforts to becoming high-reliability organizations.

Additionally, accountability will bring new performance and utilization risks to providers, as the focus shifts from optimizing business unit performance to optimizing network performance. At the same time, instead of maximizing the profitability of care, organizations will increase the volume of desired bundled episodes while controlling costs.

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