AbstractThe authors review the economic factors leading to the growth of accountable care organizations and describe how oncology specialists may participate in the model to ensure success for physicians and patients.Accountable care organizations (ACOs) are poised to become major components of health care delivery in the United States. The practice of oncology, often laden with high charges, is likely to undergo major shifts as ACOs become widespread. In this article, we review the economic factors leading to the growth of ACOs and discuss some elements of the current ACO model proposed in the Affordable Care Act. Oncology specialists—in medicine, surgery, and radiation oncology—will have important roles in determining the place of specialty care in an ACO framework and will have to take the lead in educating patients, primary care physicians, and administrators on the value propositions related to their activities. We also describe how oncology specialists may participate in the model to ensure success for physicians and patients.
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机译：摘要作者回顾了导致责任医疗组织增长的经济因素，并描述了肿瘤学专家如何参与该模型以确保医师和患者的成功。责任医疗组织（ACO）有望成为医疗服务提供的主要组成部分美国。随着ACO的普及，经常载满大量费用的肿瘤学实践可能会发生重大变化。在本文中，我们回顾了导致ACO增长的经济因素，并讨论了Affordable Care Act中提出的当前ACO模型的一些要素。医学，外科和放射肿瘤学方面的肿瘤学专家将在确定ACO框架中的专科治疗中发挥重要作用，并且必须带头教育患者，初级保健医生和管理人员有关以下方面的价值主张：他们的活动。我们还描述了肿瘤学专家如何参与模型以确保医师和患者的成功。
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