Roundtable: Private market ACOs

Accountable care organizations (ACOs) and the Medicare Shared Savings program will reshape healthcare delivery for the next decade, but the commercial market is positioned to drive the revolution of accountability at a faster pace. Many believe the potential to squeeze costs out of the system is greater in the commercial market, and the flexibility offered by managed care arrangements will be more attractive to providers. In addition, providers envision more potential bonus earnings coming from commercial insurers' ACO programs than from Medicare.

The magazine Managed Healthcare Executive recently brought together four key thought leaders to discuss the potential of ACO arrangements in the commercial market, including Rob Parke, a principal and consulting actuary with the New York office of Milliman.