Understanding the Particular Characteristics of Pediatric Populations and How They Could Impact Accountable Care Organizations

Key Issues

Kid’s unique medical needs and social environment necessitate care from pediatric-trained physicians and child-specific community resources such as schools.

  • Kid’s unique medical needs and social environment necessitate care from pediatric-trained physicians and child-specific community resources such as schools
  • It is essential to select performance metrics that are meaningful to pediatrics and that accurately measure the quality of pediatric care
  • Population characteristics and scarce sub-specialists require a regional vs local provider base
  • Technology needs to include functionality to support pediatric care
  • Children with medical complexity usually have many subspecialists and rely on community resources and will need special care throughout their lives
  • The family is generally responsible for a child’s health care, rather than the patient him-or herself
  • Federal leadership provided by Medicare is lacking in Medicaid, but states have begun working with providers to form Medicaid ACOs
  • A largely healthy population means that a larger number of patients is needed to show significant cost savings
Keywords: 
Accountable Care, pediatric care