Topic 6 DQ 6

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Please respond with a paragraph to the following question, add citations and references:

The Patient Protection and Affordable Care Act of 2010 (PPACA) contains many provisions that seek to intertwine the quality of care with the cost of care. Three emerging care delivery models, in particular, are addressed in PPACA. These are the accountable care organization, the medical or health home, and the nurse-managed health center (American Nurses Association, 2010). Let’s discuss Accountable Care Organization.

Accountable Care Organization (ACO)

The ACO, in its most basic form, is a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility for the quality and cost of care provided to its patients. If the ACO meets certain quality and savings targets, its members receive a financial bonus. The law mandates that an ACO must be willing to become accountable for the quality, cost, and overall care of the Medicare fee-for-service beneficiaries assigned it. This interdisciplinary care delivery model revolves around the key patient outcomes of cost, quality and affordability (Koh & Sebelius, 2010). With this model, the vision is to provide quality care to patients with optimized cost.


American Nurses Association. (2010). New care delivery models in health system reform: opportunities for nurses and their patients, ANA Issue Brief. Retrieved from:—final—haney—6-9-10-1532.pdf

Koh, H. K., & Sebelius, K. G. (2010). Promoting prevention through the affordable care act. New England Journal of Medicine, 363(14), 1296-1299.

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