Redesigning health care organizations: The influence of government policy and methods of payment

Alok D. Sharan, Gregory D. Schroeder, Michael E. West, Alexander R. Vaccaro

Research output: Contribution to journalArticle

3 Scopus citations


Over the last 5 years, there has been a growing trend toward consolidation in the health care field. As reimbursement moves from a fee-for-service model to a value-based model, there will be continued pressure on physicians to either be a hospital employee or to be in a large multidisciplinary practice. This is largely due to the Accountable Care Act, which directs payers to utilize population-based cost analyses, rather than an individual patient-based analysis. To succeed in this environment, practices will have to break down traditional organizational barriers to create evidence-based algorithms for the treatment of individual diagnoses from the initial onset of symptoms until the resolution of symptoms.

Original languageEnglish (US)
Pages (from-to)379-381
Number of pages3
JournalJournal of Spinal Disorders and Techniques
Issue number10
Publication statusPublished - 2015



  • Accountable Care Act
  • Business of medicine
  • Fee-for-service
  • Value-based reimbursement

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Orthopedics and Sports Medicine

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