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Accountable Care Organizations: what they mean for the country and for neurointerventionalists
  1. Timothy M Meehan1,
  2. H Benjamin Harvey1,
  3. Richard Duszak Jr2,3,
  4. Philip M Meyers4,
  5. Geraldine McGinty5,
  6. Gregory N Nicola6,
  7. Joshua A Hirsch7
  1. 1Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
  2. 2Harvey L Neiman Health Policy Institute, Reston, Virginia, USA
  3. 3Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia, USA
  4. 4Departments of Radiology and Neurological Surgery, Neurological Institute of New York, Columbia University, College of Physicians & Surgeons, New York, New York, USA
  5. 5Department of Radiology, Weill Cornell Medical College, New York, New York, USA
  6. 6Hackensack University Medical Center, Hackensack, New Jersey, USA
  7. 7NeuroEndovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
  1. Correspondence to Dr Timothy M Meehan, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, FND 216, Boston, MA 02114, USA; tmmeehan{at}


The Affordable Care Act is celebrating its fifth anniversary and remains one of the most significant attempts to reform healthcare in US history. Prior to the federal legislation, Accountable Care Organizations had largely been part of an academic discussion about how to control rising healthcare costs, but have since become a fixture in our national healthcare landscape. A fundamental shift is underway in the relationship between healthcare delivery and payment models. Some elements of Accountable Care Organizations may remain unfamiliar to most healthcare providers, including neurointerventional specialists. In this paper we review the fundamental concepts behind and the current forms of Accountable Care Organizations, and discuss the challenges and opportunities they present for neurointerventionalists.

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  • PostScript
    Joshua A Hirsch Thabele M Leslie-Mazwi Philip M Meyers Gregory N Nicola Laxmaiah Manchikanti