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Commentary
Apr 2012

Health Policy UpdateMaking Sense of Accountable Care Organizations

Author Affiliations

Author Affiliations: Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor.

Arch Surg. 2012;147(4):305-307. doi:10.1001/archsurg.2011.2292

Last year's passage of the controversial congressional debt-ceiling deal put significant cuts to government spending on the table. The additional failure of the bipartisan group of representatives and senators—the Super Committee—to agree on a slate of spending reductions triggered automatic cuts including a 2% across-the-board reduction in Medicare spending for 2013. As one of the fastest-growing segments of federal spending, Medicare costs will continue to be an inevitable target for cuts in the future. The 2010 Patient Protection and Affordable Care Act (ACA) will develop more clinically oriented reforms that aim to improve health care delivery, while also reducing health care costs on a national scale.

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