Phase 3: Waves 2 & 3: working-age adults · Step 3.6

Create integrated care organizations (ICOs)

Years 2–4 · UHADiscuss this step

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Task 3.6.1 of 4

Define requirements: own or employ primary care and hospital services, accept all comers in their service area, publish quality and waits.

Who does it

UHA

When

Year 1

Trade-off

Strict requirements keep ICOs genuine but exclude smaller systems.

Part of: Create integrated care organizations (ICOs)

Provider-run integrated systems can accept a single risk-adjusted global budget for patients who choose them. This preserves the Kaiser/Geisinger model without an insurance layer.

This step changes 3 existing laws, programs, or institutions. See the list.