Special Projects Fund

Project Title

Planning Grant: Supporting the Development of Accountable Care Organizations in the Hudson Valley

Grant Amount


Priority Area

Special Projects Fund

Date Awarded

October 26, 2010


Hudson Valley






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.

The planning process has three components: (1) bringing together health care providers and payers to explore the ACO model and develop common principles; (2) providing training and technical assistance on the “nuts and bolts” of ACOs (including financial modeling, legal considerations, quality measurement, and management and leadership); and (3) populating a communitywide data set across multiple payers and years to enable quality and cost outcome analysis.

Read the report associated with this grant, “Building ACOs and Outcome-Based Contracted in the Commercial Market: Provider and Payor Prespective.”