The argument for Improving Care Delivery

The argument for Improving Care Delivery Student’s Name Institutional Affiliation Introduction Improvement of the standards of the healthcare system in the United States involves persuasion of three aims, which include improvement in care experience, enhancing healthcare population, and reducing the cost of care provision. The development of Accountable Care Organization (ACO) by healthcare researchers and policymakers aimed at achieving measurable health care with quality improvement and enhancing affordable care through reduction of the growing rate of spending in healthcare systems for the patient population. The organization is formed on the basis of healthcare structure dedicated to quality, effectiveness, and efficiency, requiring authorities to impose best practices, reporting, and compensation standards. The discussion herein explains the impact of Accountable Care Organization and Patient-Centered Medical Home movements in changing and enhancement of regulatory, financial, and quality improvement initiatives with identification of barriers to change and best approaches for overcoming the identified change barriers. The major focus of Accountable Care Act (ACA) is on expansion health insurance coverage for the underserved and underserved population through provision of various levels of government subsidies with reference to personal income and the preferred insurance benefit level (Pollack, 2011). The major aim of improved care is to meet the increasing demand, which mainly requires profound and systemic changes within the delivery system organization and payments for care providers. To enable applicability of a provision of affordable care, the Accountable Care Organizations are held accountable for the provided quality care and the involved cost for defined patient groups. The organizations are involving commercial sector commercial insurance in the enhancement of population health in the United State. Accountable Care Organizations take different healthcare system models, which enhances the provision of quality and affordable care to the US population. For instance, the pioneer model involves taking both upside and downside risks to enable potential larger results by ensuring that allocated expenditures are kept through the designated projects. Share saving model ensures that the care provider is not accountable for downside losses but are allowed to share upside gains. In the advanced payment model, advance payment is provided for small and rural providers for investment in care management infrastructure, aiming to achieve significant savings in the future. The understanding of the ACOs argues on increased consolidation and integration of care providers and how they influence quality enhancement and decreases the cost of care. The US healthcare system expenditure is higher than other developed countries with the cost of care being considered to be extremely higher but not yet managed to reach a point od declared the high-quality status of care. As Donald Berwick explains in The Triple Aim: Care Health, and Cost, the Institute of Medicine aims at improving the quality of health care through defects reduction in the patient care in all identified dimensions of a single site of care. These dimensions include safety, eff...