{"id":"https://openalex.org/W2077832172","doi":"https://doi.org/10.1001/jama.2014.4086","title":"Health Reform and Physician-Led Accountable Care","display_name":"Health Reform and Physician-Led Accountable Care","publication_year":2014,"publication_date":"2014-04-10","ids":{"openalex":"https://openalex.org/W2077832172","doi":"https://doi.org/10.1001/jama.2014.4086","mag":"2077832172","pmid":"https://pubmed.ncbi.nlm.nih.gov/24723035"},"language":"en","primary_location":{"id":"doi:10.1001/jama.2014.4086","doi":"https://doi.org/10.1001/jama.2014.4086","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.2014.4086","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","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/A5036421617","display_name":"Farzad Mostashari","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I115283149","display_name":"Brookings Institution","ror":"https://ror.org/04aj4sh46","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I115283149"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Farzad Mostashari","raw_affiliation_strings":["The Brookings Institution, Washington, DC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Brookings Institution, Washington, DC","institution_ids":["https://openalex.org/I115283149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038759318","display_name":"Darshak M. Sanghavi","orcid":"https://orcid.org/0000-0003-3713-171X","observed_orcids":["https://orcid.org/0000-0003-3713-171X"]},"institutions":[{"id":"https://openalex.org/I115283149","display_name":"Brookings Institution","ror":"https://ror.org/04aj4sh46","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I115283149"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Darshak Sanghavi","raw_affiliation_strings":["The Brookings Institution, Washington, DC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Brookings Institution, Washington, DC","institution_ids":["https://openalex.org/I115283149"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5113483502","display_name":"Mark McClellan","orcid":"https://orcid.org/0000-0001-6636-5238","observed_orcids":["https://orcid.org/0000-0001-6636-5238","https://orcid.org/0009-0004-8649-2372"]},"institutions":[{"id":"https://openalex.org/I115283149","display_name":"Brookings Institution","ror":"https://ror.org/04aj4sh46","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I115283149"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark McClellan","raw_affiliation_strings":["The Brookings Institution, Washington, DC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Brookings Institution, Washington, DC","institution_ids":["https://openalex.org/I115283149"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I115283149"],"apc_list":null,"apc_paid":null,"fwci":19.251,"has_fulltext":false,"cited_by_count":50,"citation_normalized_percentile":{"value":0.99417785,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"311","issue":"18","first_page":"1855","last_page":"1855"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.6518999934196472,"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"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.6518999934196472,"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/T10391","display_name":"Healthcare Policy and Management","score":0.33889999985694885,"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/T12918","display_name":"Healthcare Systems and Technology","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.8199999928474426},{"id":"https://openalex.org/keywords/accountable-care","display_name":"accountable care","score":0.7760000228881836},{"id":"https://openalex.org/keywords/physician-led-care","display_name":"physician-led care","score":0.5329999923706055},{"id":"https://openalex.org/keywords/primary-care-physicians","display_name":"primary care physicians","score":0.8669999837875366},{"id":"https://openalex.org/keywords/healthcare-spending","display_name":"health care spending","score":0.8090000152587891},{"id":"https://openalex.org/keywords/subspecialty-referral","display_name":"subspecialty referral","score":0.7760000228881836},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.578000009059906},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.4830000102519989}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9765703678131104},{"id":"https://openalex.org/C2778584109","wikidata":"https://www.wikidata.org/wiki/Q60603744","display_name":"Health care reform","level":4,"score":0.566943883895874},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4564535617828369},{"id":"https://openalex.org/C2776643233","wikidata":"https://www.wikidata.org/wiki/Q1414593","display_name":"Patient Protection and Affordable Care Act","level":4,"score":0.42443180084228516},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.41396641731262207},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3823294937610626},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3544638752937317},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3072085976600647},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.30584654211997986},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.2317943572998047},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.22283786535263062},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.10643896460533142},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.07785278558731079},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003363","descriptor_name":"Cost Control","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":"D007857","descriptor_name":"Leadership","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010819","descriptor_name":"Physician's Role","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","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":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D060866","descriptor_name":"Accountable Care Organizations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1001/jama.2014.4086","doi":"https://doi.org/10.1001/jama.2014.4086","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.2014.4086","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"journal-article"},{"id":"pmid:24723035","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/24723035","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":"JAMA","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W2094482298","https://openalex.org/W2113875289","https://openalex.org/W2119101349","https://openalex.org/W2167145975"],"related_works":["https://openalex.org/W77832539","https://openalex.org/W4286715836","https://openalex.org/W3124692626","https://openalex.org/W1991926159","https://openalex.org/W2106146034","https://openalex.org/W2415287460","https://openalex.org/W4293161831","https://openalex.org/W2089551056","https://openalex.org/W4206990241","https://openalex.org/W2995369368"],"abstract_inverted_index":{"Even":[0],"though":[1],"most":[2],"adult":[3,97],"primary":[4,35,55,70,98],"care":[5,36,52,56,71,99,109],"physicians":[6,100],"may":[7],"not":[8],"realize":[9],"it,":[10],"they":[11],"each":[12,42],"can":[13],"be":[14],"seen":[15],"as":[16,81],"a":[17,33],"chief":[18],"executive":[19],"officer":[20],"(CEO)":[21],"in":[22,68,107],"charge":[23],"of":[24,28,43,62,95],"approximately":[25,39],"$10":[26],"million":[27],"annual":[29],"revenue.":[30],"Consider":[31],"that":[32,63],"typical":[34],"physician":[37],"has":[38],"2000":[40],"patients,":[41],"whom":[44],"annually":[45],"accounts":[46,58],"for":[47,50,59,76],"about":[48],"$5000":[49],"health":[51,108],"spending.":[53,110],"Although":[54],"today":[57],"only":[60],"5%":[61],"spending,":[64],"the":[65,69],"decisions":[66],"made":[67],"setting":[72],"have":[73],"important":[74],"implications":[75],"downstream":[77],"medical":[78,87],"care,":[79],"such":[80],"subspecialty":[82],"referrals,":[83],"imaging":[84],"and":[85,91],"other":[86],"testing,":[88],"invasive":[89],"procedures,":[90],"hospitalizations.":[92],"A":[93],"group":[94],"100":[96],"could":[101],"potentially":[102],"influence":[103],"almost":[104],"$1":[105],"billion":[106]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":6},{"year":2017,"cited_by_count":7},{"year":2016,"cited_by_count":9},{"year":2015,"cited_by_count":7},{"year":2014,"cited_by_count":9}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}