Article ID: CBB281463388

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

unapi

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.

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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

Citation URI
https://data.isiscb.org/isis/citation/CBB281463388/

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Authors & Contributors
Hoeyer, Klaus
Andreas Kolb
Miner, Skye A.
Dahdah, Marine Al
Hauskeller, Christine
Kalender, Ute
Concepts
Medicine
Technoscience; science and technology studies
Health care
Risk
Public health
Medical tourism
Time Periods
21st century
20th century
20th century, late
Places
Japan
South Korea
Bangladesh
Thailand
Ghana
East Asia
Institutions
World Health Organization (WHO)
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