• The Milbank quarterly · Dec 2018

    Trust, Money, and Power: Life Cycle Dynamics in Alliances Between Management Partners and Accountable Care Organizations.

    • Genevra F Murray, Thomas D'Aunno, and Valerie A Lewis.
    • The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth.
    • Milbank Q. 2018 Dec 1; 96 (4): 755-781.

    AbstractPolicy Points Accountable care organizations (ACOs) form alliances with management partners to access financial, technical, and managerial support. Alliances between ACOs and management partners are subject to destabilizing tension around decision-making authority, distribution of shared savings, and conflicting goals and values. Management partners may serve either as trainers, ultimately breaking off from the ACO, or as central drivers of the ACO. Management partner participation in ACOs is currently unregulated, and management partners may receive a significant portion (in some cases, majority) of shared savings.© 2018 Milbank Memorial Fund.

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