Special Projects Fund

Grantee Name

Taconic Health Information Network and Community, Inc.

Funding Area

Special Projects Fund

Publication Date

December 2012

Grant Amount


Grant Date:

November 2010–December 2011


Current health care reimbursement structures generally reward volume rather than value, and do not encourage coordination or collaboration across unaffiliated organizations.

A promising, but new and largely untested, model called accountable care organizations (ACOs) has emerged as a way to slow rising health care costs and improve quality. An ACO formally brings together a set of non-affiliated providers, and holds them accountable for the cost and quality of care delivered to a defined population of patients. The Taconic Health Information Network and Community, Inc. (THINC) brought payers and providers to the table in a joint pursuit of models that would benefit both communities in the Hudson Valley region. The New York Health Foundation funded THINC to facilitate a planning process among payers, providers, and other key stakeholders.

Outcomes and Lessons Learned

  • Organized an ACO legal workgroup representing a broad range of payer and provider participants.
  • Organized four ACO Insights webinars designed to address key operational and policy decisions for developing an ACO. Total registration across all webinars was 980 and attendees represented a broad range of stakeholders.
  • Organized a conference in June 2011 with more than 100 attendees.
  • Contracted with RAND Corporation to help determine the median reliability and ranges for each utilization measure in its multipayer data set across individual physicians and practices.
  • Published a public white paper in November 2011 titled “Building ACOs and Outcome-Based Contracting in the Commercial Market: Provider and Payor Perspectives.”