The CAPP engaged the Institute for Accountable Care to review recent literature to assess the current state of research on the characteristics and performance of accountable care organizations (ACOs) and accountable physician groups.
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Based on the research conducted by CAPP in 2012, CAPP physician leaders authored a series of five articles to describe how leadership training occurs in their organizations, the structure of these programs, and lessons learned.
This project, led by researchers Robert Mechanic and Darren Zinner, defines the prevalence and magnitude of bundled payments, capitation and other models that shift incentives from volume to value-based measurement. Twenty CAPP groups participated in a survey about payment practices.
This was a joint project of CAPP, The Commonwealth Fund, Kaiser Permanente Institute for Health Policy, and Alain Enthoven, PhD, of Stanford to develop a mechanism to understand and measure the evolution of delivery system reform across the nation.
In 2006, CAPP launched a study to analyze linked data from multi-specialty group practices, claims from Dartmouth’s Medicare fee-for-service claims database, and National Survey of Physician Organizations (NSPO) NSPO1 and NSPO2 data on organizational attributes and care management processes.
The concept of “accountable care organizations” has gained traction with the current health insurance reform debate. There is increasing acceptance among industry leaders that care coordination which comes from system integration is necessary to achieve both cost and quality goals.
The current practice of reporting at the individual physician level in “transparency” initiatives doesn’t capture the value of care coordination, and encounters problems due to small sample sizes and difficulties in determining accountability for care when multiple providers deliver services.
In June 2009, CAPP, The Commonwealth Fund, and Kaiser Permanente Institute for Health Policy hosted a discussion on payment and delivery system reform in Washington, D.C. Attendees included many leaders of CAPP’s multispecialty medical groups and health systems.
In 2006, the CAPP Advisory Council recommended best practices for use of IT and EMR in chronic conditions, capabilities to provide feedback and guidance on the overall performance of a practice and its physicians; and capabilities to provide patient-centered care.
In 2008, CAPP completed a series of consumer focus groups to test marketing language and strategies promoting coordinated care. In 2009, we sought to understand consumer attitudes about the kind of care they receive in a “coordinated care” multispecialty group.