Fifteen percent of accountable care organizations are governed by hospitals, 8 percent are governed by physicians and 1 percent by payers, according to recent data from the AHA Survey of Care Systems and Payment. The remainder of ACOs are governed by a mix of providers, payers, community agencies and faith-based organizations.

The Centers for Medicare & Medicaid Services require ACOs to have a legal entity designated as a governing body and 75 percent control of that body must be held by ACO participants; that is, individuals or groups of providers or suppliers. The vast majority — 81 percent — of ACOs do not have a patient or consumer representative in the governing body, 16 percent have one representative and 3 percent have two or more representatives. The average ACO board size is 14 members.

For more information on how to participate in the AHA Survey of Care Systems and Payment, or to learn more about the results, call 800-530-9029.


Coming in May

Trustee will present a snapshot of community health across the country broken down by beds, admissions and inpatient days.