Accountable Care Organizations are starting gain traction.. Chicago looks like they have cut a deal with Anthem Blue Cross of Illinois to the ACO model in place.
The ACO model is going to have physicians accountable for care. The physician will be rewarded for positive outcomes with patients. This is a huge jump from the fee for service model that is in place today.
Some of the smaller medical practices have major concerns with the how the ACO model is being set up.
The ACO could impact health insurance not only in the Medicare field but in the health insurance exchange also. Blue Cross of Illinois stated that the only way they can deliver savings in the exchange model is with the ACO approach. If the ACO model reduces medical costs then we will see it in the state bases exchanges.