Health payments have been made on a fee-for-service basis, but due to trends in the healthcare sector, other models are considered which provide a range of services at a lower cost. These common models are the Accountable Care Organization (ACO) and Patient-Centred Medical Home (PCMH) which provide options for coordinating proper medical care among providers and specialists at a minimal fee. This analysis aims at comparing and contrasting both ACO and PCMH.
Comparison
PCMH requires providers to increase access, expand chronic management, as well as focus on the precise needs of patients and their caregivers with the aim of achieving an official acknowledgment. PCMHs must also reveal their commitment to continuous upgrading in order to achieve modification ( Burton et al., 2011 ). The ACO is founded on securing affiliation in a group of providers driven by a treaty that all facilities must work together in order to change how they receive compensation. Unlike in ACO which are accountable for the cost and quality of care individuals receives, PCMH providers are liable to themselves when devoting in the development of health care.
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ACO is comprised of many medical homes where it is referred to as a medical neighbourhood due to the multiple primary care practitioners who work together. PCMH, on the other hand, does not require numerous external connections with other establishments. ACO at times develop scientific analytics that plays a role of patient tracking in the healthcare system.
Contrast
Both ACO and PCMH are models with the goals to coordinate healthcare for patients by preventing possible medical situations that may arise and ensure the provision of increased quality and safer medical care ( Jegers et al., 2002 ). Both models focus on improving the quality of health care while at the same time coordinating qualified practitioners and medical providers. ACO and PCMH models encourage the use of electronic health records and patient registers. Both models also ensure that quality improvement is continuously monitored to provide the best health care.
References
Burton, R., Devers, K. J., & Berenson, R. A. (2011). Patient-centered medical home recognition tools: A comparison of ten surveys' content and operational details . Urban Institute.
Jegers, M., Kesteloot, K., De Graeve, D., & Gilles, W. (2002). A typology for provider payment systems in health care. Health policy , 60 (3), 255-273.
