Article ID: CBB281463388

Accounting for accountable care: Value-based population health management (August 2019)


Hogle, Linda F. (Author)

Social Studies of Science
Volume: 49
Issue: 4
Pages: 556-582

Publication Date: August 2019
Edition Details: Special Issue: From Person to Population and Back: Exploring Accountability in Public Health
Language: English

Accountable Care Organizations (ACOs) are exemplars of so-called value-based care in the US. In this model, healthcare providers bear the financial risk of their patients’ health outcomes: ACOs are rewarded for meeting specific quality and cost-efficiency benchmarks, or penalized if improvements are not demonstrated. While the aim is to make providers more accountable to payers and patients, this is a sea-change in payment and delivery systems, requiring new infrastructures and practices. To manage risk, ACOs employ data-intensive sourcing and big data analytics to identify individuals within their populations and sort them using novel categories, which are then utilized to tailor interventions. The article uses an STS lens to analyze the assemblage involved in the enactment of population health management through practices of data collection, the creation of new metrics and tools for analysis, and novel ways of sorting individuals within populations. The processes and practices of implementing accountability technologies thus produce particular kinds of knowledge and reshape concepts of accountability and care. In the process, account-giving becomes as much a procedural ritual of verification as an accounting for health outcomes.

Associated with

Article Klaus Hoeyer; Susanne Bauer; Martyn Pickersgill (August 2019) Datafication and accountability in public health: Introduction to a special issue. Social Studies of Science (pp. 459-475). unapi

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Authors & Contributors
Hoeyer, Klaus
Stern, Alexandra Minna
Abeysinghe, Sudeepa
Cornelius Schubert
Andreas Kolb
Kalender, Ute
Social Studies of Science
East Asian Science, Technology and Society: An International Journal
Science, Technology and Human Values
Science in Context
Johns Hopkins University Press
University of Chicago Press
Technoscience; science and technology studies
Health care
Public health
Public understanding of medicine
Time Periods
21st century
20th century, late
20th century
United States
East Asia
World Health Organization (WHO)

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