{"id":"https://openalex.org/W2052273010","doi":"https://doi.org/10.2215/cjn.00230113","title":"Introduction","display_name":"Introduction","publication_year":2013,"publication_date":"2013-04-01","ids":{"openalex":"https://openalex.org/W2052273010","doi":"https://doi.org/10.2215/cjn.00230113","mag":"2052273010","pmid":"https://pubmed.ncbi.nlm.nih.gov/23564886"},"language":"en","primary_location":{"id":"doi:10.2215/cjn.00230113","doi":"https://doi.org/10.2215/cjn.00230113","is_oa":false,"landing_page_url":"https://doi.org/10.2215/cjn.00230113","pdf_url":null,"source":{"id":"https://openalex.org/S184267533","display_name":"Clinical Journal of the American Society of Nephrology","issn_l":"1555-9041","issn":["1555-9041","1555-905X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Journal of the American Society of Nephrology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028919760","display_name":"Paul M. Palevsky","orcid":"https://orcid.org/0000-0002-7334-5400","observed_orcids":["https://orcid.org/0000-0002-7334-5400"]},"institutions":[{"id":"https://openalex.org/I170201317","display_name":"University of Pittsburgh","ror":"https://ror.org/01an3r305","country_code":"US","type":"education","lineage":["https://openalex.org/I170201317"]},{"id":"https://openalex.org/I4210133905","display_name":"VA Pittsburgh Healthcare System","ror":"https://ror.org/02qm18h86","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210133905","https://openalex.org/I4210147340"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Paul M. Palevsky","raw_affiliation_strings":["Renal Section, Veterans Affairs Pittsburgh Healthcare System and Renal-Electrolyte Division, University of Pittsburgh School of Medicine, Pittsburgh, PA 15240, USA. . palevsky@pitt.edu","Renal Section, Veterans Affairs Pittsburgh Healthcare System and Renal-Electrolyte Division, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Renal Section, Veterans Affairs Pittsburgh Healthcare System and Renal-Electrolyte Division, University of Pittsburgh School of Medicine, Pittsburgh, PA 15240, USA. . palevsky@pitt.edu","institution_ids":["https://openalex.org/I170201317","https://openalex.org/I4210133905"]},{"raw_affiliation_string":"Renal Section, Veterans Affairs Pittsburgh Healthcare System and Renal-Electrolyte Division, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania","institution_ids":["https://openalex.org/I170201317","https://openalex.org/I4210133905"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5028919760"],"corresponding_institution_ids":["https://openalex.org/I170201317","https://openalex.org/I4210133905"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.23040899,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"8","issue":"4","first_page":"681","last_page":"681"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9624000191688538,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9624000191688538,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.005900000222027302,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10291","display_name":"Dialysis and Renal Disease Management","score":0.004800000227987766,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/affordable-care-act","display_name":"Affordable Care Act","score":0.9769999980926514},{"id":"https://openalex.org/keywords/accountable-care-organizations","display_name":"accountable care organizations","score":0.9750000238418579},{"id":"https://openalex.org/keywords/integrated-care","display_name":"integrated care","score":0.7789999842643738},{"id":"https://openalex.org/keywords/nephrology-practice","display_name":"nephrology practice","score":0.9589999914169312},{"id":"https://openalex.org/keywords/dialysis","display_name":"dialysis","score":0.48100000619888306},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.5429999828338623},{"id":"https://openalex.org/keywords/triple-aim","display_name":"Triple Aim","score":0.7850000262260437},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.6740000247955322},{"id":"https://openalex.org/keywords/geisinger-health-system","display_name":"Geisinger Health System","score":0.7799999713897705},{"id":"https://openalex.org/keywords/fresenius-medical-care","display_name":"Fresenius Medical Care","score":0.968999981880188}],"concepts":[{"id":"https://openalex.org/C54847362","wikidata":"https://www.wikidata.org/wiki/Q177635","display_name":"Nephrology","level":2,"score":0.7365832924842834},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7222254276275635},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.575736403465271},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4973161518573761},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.45209863781929016},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34640204906463623},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.15696993470191956},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.1176435649394989},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.09589776396751404}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009398","descriptor_name":"Nephrology","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D009398","descriptor_name":"Nephrology","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D009398","descriptor_name":"Nephrology","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D019033","descriptor_name":"Delivery of Health Care, Integrated","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D058991","descriptor_name":"Patient Protection and Affordable Care Act","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D058991","descriptor_name":"Patient Protection and Affordable Care Act","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D058991","descriptor_name":"Patient Protection and Affordable Care Act","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.2215/cjn.00230113","doi":"https://doi.org/10.2215/cjn.00230113","is_oa":false,"landing_page_url":"https://doi.org/10.2215/cjn.00230113","pdf_url":null,"source":{"id":"https://openalex.org/S184267533","display_name":"Clinical Journal of the American Society of Nephrology","issn_l":"1555-9041","issn":["1555-9041","1555-905X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-2","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Journal of the American Society of Nephrology","raw_type":"journal-article"},{"id":"pmid:23564886","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23564886","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical journal of the American Society of Nephrology : CJASN","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2183606172","https://openalex.org/W2071089857","https://openalex.org/W2601643798","https://openalex.org/W2038618553","https://openalex.org/W2054403001","https://openalex.org/W3092538919","https://openalex.org/W2267502226","https://openalex.org/W2998749300","https://openalex.org/W4322499613","https://openalex.org/W3045500684"],"abstract_inverted_index":{"Introduction":[0],"The":[1,85,213],"Patient":[2],"Protection":[3],"and":[4,19,54,83,116,146,175,184,195],"Affordable":[5,33],"Care":[6,34],"Act":[7],"will":[8,220],"undeniably":[9],"alter":[10],"the":[11,16,25,32,42,60,96,107,124,141,150,157,197,203,223,234],"delivery":[12,135],"of":[13,28,31,45,62,74,88,98,106,152,168,190,226],"healthcare":[14,57],"in":[15,131,156,173,202],"United":[17,204],"States":[18],"ultimately":[20],"have":[21],"profound":[22],"effects":[23],"on":[24,80,100,104],"clinical":[26],"practice":[27],"nephrology.":[29,84],"One":[30],"Act\u2019s":[35],"primary":[36],"mechanisms":[37],"for":[38,48,52,209],"attempting":[39],"to":[40,94,229],"achieve":[41],"triple":[43],"aim":[44],"better":[46,50],"care":[47,64,68,82,134,155,232],"individuals,":[49],"health":[51,163],"populations,":[53],"reduced":[55],"per-capita":[56],"costs":[58],"is":[59],"implementation":[61],"integrated":[63,81,133,154,162,210],"models":[65],"through":[66],"accountable":[67],"organizations":[69],"(ACOs).":[70],"In":[71,140],"this":[72],"issue":[73],"CJASN,":[75],"we":[76],"provide":[77,120,206],"three":[78,218],"perspectives":[79,219],"American":[86],"Society":[87],"Nephrology":[89],"established":[90],"a":[91,166],"task":[92,108,125],"force":[93,126],"consider":[95],"impact":[97],"ACOs":[99],"nephrology":[101,138,153,211,231],"practice.":[102],"Writing":[103],"behalf":[105],"force,":[109],"L.":[110],"Lee":[111],"Hamm,":[112],"Thomas":[113],"H.":[114],"Hostetter,":[115],"Rachel":[117],"N.":[118],"Shaffer":[119],"six":[121],"principles":[122],"that":[123,216],"believed":[127],"must":[128],"be":[129],"reflected":[130],"any":[132],"model":[136],"involving":[137],"patients.":[139],"second":[142],"perspective,":[143],"James":[144],"Hartle":[145],"Evan":[147],"Norfolk":[148],"describe":[149],"development":[151],"Geisinger":[158],"Health":[159],"System,":[160],"an":[161],"system":[164],"serving":[165],"population":[167],"approximately":[169],"3":[170],"million":[171],"people":[172],"northern":[174],"central":[176],"Pennsylvania.":[177],"Finally,":[178],"Franklin":[179],"W.":[180],"Maddux,":[181],"Stephen":[182],"McMurray,":[183],"Allen":[185],"R.":[186],"Nissenson,":[187],"medical":[188],"leadership":[189],"Fresenius":[191],"Medical":[192],"Care,":[193],"NA":[194],"DaVita,":[196],"two":[198],"largest":[199],"dialysis":[200],"providers":[201],"States,":[205],"their":[207],"vision":[208],"care.":[212],"editors":[214],"hope":[215],"these":[217],"help":[221],"inform":[222],"ongoing":[224],"consideration":[225],"how":[227],"best":[228],"integrate":[230],"into":[233],"ACO":[235],"model.":[236],"Disclosures":[237],"None.":[238]},"counts_by_year":[],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2016-06-24T00:00:00"}