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April 27, 2011

Accountable Care Organizations and Health Care Disparities

Author Affiliations

Author Affiliations: Johns Hopkins University School of Medicine and Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Dr Pollack); Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Drs Pollack and Armstrong); and University of Pennsylvania School of Medicine, Philadelphia (Dr Armstrong).

JAMA. 2011;305(16):1706-1707. doi:10.1001/jama.2011.533

Under Section 3022 of the Affordable Care Act, the Centers for Medicare & Medicaid Services is tasked with developing and testing accountable care organizations (ACOs). The goal of ACOs is to group hospitals and physician practices together to facilitate and incentivize quality improvement and cost containment—critical steps for US health care. However, careful consideration and monitoring during the program's implementation is needed to ensure that ACOs do not have the unintended consequence of reinforcing health care disparities.

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