Publication date: Available online 6 August 2018
Source: Seminars in Spine Surgery
Author(s): Daniel G. Tobert, Andrew J. Schoenfeld
Abstract
Objectives
The purpose of this manuscript is to describe the origins of accountable care organizations and summarize their impact on spine care.
Findings
The unmitigated rise in capital expenditures for health care services in the latter half of the twentieth century gave rise to the development of cost-saving measures, including accountable care organizations. These have shown modest cost savings and improvements in quality measures but have largely ignored surgeons and surgical care.
Conclusions
As alternative payment models expand, spine surgery will be targeted for improvements. Spine surgeons should be involved in the structuring of those efforts.
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