The Duke-Margolis Center, in collaboration with Leavitt Partners and funded by the Gordon and Betty Moore Foundation, have worked for the past year to identify feasible, actionable, and successful approaches to delivering serious illness care within accountable care organizations (ACOs). This effort has produced six case studies showing how exemplar and diverse ACOs are addressing serious illness care. The cross-cutting findings from the six case studies will be published in Health Affairs in June.
Last month, we released the first case study. Today, we are releasing three more, featuring Presbyterian Healthcare Services, NYC Health + Hospital’s HHC ACO Inc, and Facey Medical Group. These three organizations care for people living with serious illness and represent diverse settings, contracts, and organizational structures. Presbyterian is a statewide integrated delivery system in New Mexico serving a high percentage of publicly-insured populations through multiple ACO contract; NYC Health + Hospital’s HHC ACO Inc is a hospital-led Medicare ACO that is part of the largest public hospital system in the US and has an extremely urban, and underserved population; and Facey is a commercial ACO in Los Angeles, California. They all have different approaches to caring for people living with serious illness, including home and community based palliative care for people with severe functional limitations, “Hospital at Home” models to provide acute care outside of the traditional hospital setting, and leveraging creative data dashboards for high-touch complex care management. What they all have in common is sustained success in decreasing costs and unnecessary utilization while improving quality and patient satisfaction for people living with serious illness.