Successes and failures of the Triple Aim and the ACA

Posted by on Mar 30, 2015 in News | 0 comments

benefits-quarterlyI recently authored an article in Benefits Quarterly. The article was an opinion piece, in which I discussed the objectives and success/failures, of the Triple Aim and the ACA (Affordable Care Act). The Triple Aim was developed in 2008 and charged with improving the health of the overall population and patient experiences, while at the same time lowering cost.  In 2010 the ACA set out to deliver affordable health care for all Americans and I surmise the ACA was created based on the Triple Aim framework.

It is too soon to definitively qualify the ACA as a success or failure, but they don’t seem to be reaching the goals outlined by the Triple Aim. Having said that, the ACA may ultimately achieve success if they are able to adapt to current evidence and information. A willingness to argue constructively and compromise will heavily impact their outcome. As stated in the article “Some may maintain that the Triple Aim was not intended to be applied nationally. Much of the literature on it includes discussions on defining the subpopulations that a particular health system serves. For instance, a Medicare ACO needs worry only about the population of Medicare-eligible individuals who are assigned to it. It can acieve the goals of improved health, patient experience and lower costs by neglecting the needs of and shifting costs to, the non-Medicare population.

However, governmental programs have a responsibility to all constituents and, while some resouce reallocation may be appropriate, the net effect should be improvement along each of the Triple Aims for the total population.”

To read the article in it’s entirety, join Benefits Quarterly here.

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