Changes in Models of Care

The change in the various healthcare models had a positive impact on the healthcare system of US. Over the years, there has been over 1000 Accountable Care Organizations ACO) which serve almost 32 million people. ACO s have enhanced the various approaches of health care through their initiatives like the advance payment models (APO), the Medicare shared savings program (MSSP), and the pioneer ACO programs.

Running head: CHANGES IN MODELS OF CARE
TOPIC: CHANGES IN MODELS OF CARE
Name of the Student:
Name of the University:
Author Note:

1CHANGES IN MODELS OF CARE
Over the past 30 years, the change in the various healthcare models had a positive impact
on the healthcare system of US. There had been significant decrease in age adjusted mortality
rates in patients suffering from coronary and heart diseases despite of improvement gaps seen
earlier (Sidney et al., 2018). There has been changes in organizational structure by merging
the physician practices with alignment of the ethical rules of the hospital. Even alternative
payment models for high medical expenses have been successful in development of new
approaches to care management. It has also unified nurses over the past years, by achieving
seamless care and effective group management.
Over the years, there has been over 1000 Accountable Care Organizations ACO) which
serve almost 32 million people. ACO s have enhanced the various approaches of health care
through their initiatives like the advance payment models (APO), the Medicare shared
savings program (MSSP), and the pioneer ACO programs. These programs have enhanced
the sustenance of small hospitals thus increasing their chances of survival. Potential benefits
involved in ACO s are care coordination among the staff, and improvement in
communication with other providers. However in the past 30 years cons like inability of
coping investments along with referral restrictions and bureaucratic requirements have
emerged as potential threats to the mushrooming of smaller community hospitals (Nath et al.,
2016).
Changes in the existing models of care among stakeholders have brought a lot of changes
in healthcare systems. A healthy lifestyle as recommended by the recent model of care
suggests that healthy lifestyles alongside meaningful interactions as well as group
interventions and effective communication have been achieved (Arena et al., 2015). A group
of research stakeholders involving knowledge intermediaries, fundraisers, policymakers have
been benefitted from the changes (Greenhalgh et al., 2016). However, the rising of ACO s
have increased the burden of responsibilities on stakeholders especially physicians which is

2CHANGES IN MODELS OF CARE
having negative impact on them. Lack of proper health standards by the contemporary
models of care is becoming another potential hindrance on the success of stakeholders.
Hence, it can be concluded that overall the effect of Accountable Care Organisations have a
positive impact on the healthcare of US over the past 30 years.

3CHANGES IN MODELS OF CARE
References
Acharya, B., Maru, D., Schwarz, R., Citrin, D., Tenpa, J., Hirachan, S., ... & Kohrt, B.
(2017). Partnerships in mental healthcare service delivery in low-resource settings:
developing an innovative network in rural Nepal. Globalization and health, 13(1), 2.
Arena, R., Guazzi, M., Lianov, L., Whitsel, L., Berra, K., Lavie, C. J., ... & Myers, J. (2015).
Healthy lifestyle interventions to combat noncommunicable disease—a novel
nonhierarchical connectivity model for key stakeholders: a policy statement from the
American Heart Association, European Society of Cardiology, European Association for
Cardiovascular Prevention and Rehabilitation, and American College of Preventive
Medicine. European heart journal, 36(31), 2097-2109.
Greenhalgh, T., Jackson, C., Shaw, S., & Janamian, T. (2016). Achieving research impact
through co‐creation in community‐based health services: literature review and case
study. The Milbank Quarterly, 94(2), 392-429.

4CHANGES IN MODELS OF CARE
Sidney, S., Sorel, M. E., Quesenberry, C. P., Jaffe, M. G., Solomon, M. D., Nguyen-Huynh,
M. N., ... & Rana, J. S. (2018). Comparative trends in heart disease, stroke, and all-cause
mortality in the United States and a large integrated healthcare delivery system. The
American journal of medicine.