Ethical Practice Under Accountable Care

Abraham D. Graber, Asha Bhandary, Matthew Rizzo

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Accountable Care Organizations (ACOs) are a key mechanism of the Patient Protection and Affordable Care Act (PPACA). ACOs will influence incentives for providers, who must understand these changes to make well-considered treatment decisions. Our paper defines an ethical framework for physician decisions and action within ACOs. Emerging ethical pressures providers will face as members of an ACO were classified under major headings representing three of the four principles of bioethics: autonomy, beneficence, and justice (no novel conflicts with non-maleficence were identified). Conflicts include a bias against transient populations, a motive to undertreat conditions lacking performance measures, and the mandate to improve population health incentivizing life intrusions. After introducing and explaining each conflict, recommendations are offered for how providers ought to precede in the face of novel ethical choices. Our description of novel ethical choices will help providers know what to expect and our recommendations can guide providers in choosing well.

Original languageEnglish (US)
JournalHEC Forum
DOIs
StateAccepted/In press - May 23 2015

Fingerprint

Accountable Care Organizations
Patient Protection and Affordable Care Act
Beneficence
Bioethics
Social Justice
Population
Motivation
bioethics
Physicians
Pressure
autonomy
justice
incentive
act
physician
Health
Conflict (Psychology)
trend
health
performance

Keywords

  • ACO
  • Ethics
  • PPACA
  • Principlism

ASJC Scopus subject areas

  • Health Policy
  • Issues, ethics and legal aspects
  • Health(social science)

Cite this

Ethical Practice Under Accountable Care. / Graber, Abraham D.; Bhandary, Asha; Rizzo, Matthew.

In: HEC Forum, 23.05.2015.

Research output: Contribution to journalArticle

Graber, Abraham D. ; Bhandary, Asha ; Rizzo, Matthew. / Ethical Practice Under Accountable Care. In: HEC Forum. 2015.
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