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Developing Aligned ACO and CIN Boards Within the Health System's Broader Governance Structure

Over the past decade, many health systems have pursued value-based care strategies that include the design and launch of, or alignment with, an outcomesoriented organization such as an accountable care organization (ACO) or clinically integrated network (CIN). Governance of these entities is critical in achieving the goals of aligning incentives between hospital and physician participants.

ACOs and CINs are organized for the distinct business purpose of improving clinical quality and outcomes, resulting in the reduction of healthcare costs (and creation of shared savings). In many cases, these entities are operated as joint ventures between health systems and physician organizations. Creating purposeful synergy between the ACO/CIN and the health system governance structure can enable success and help to avoid misaligned strategies.

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