Accountable Care Organizations and Our Commitment to Patient/Family Feedback

What are accountable care organizations?

Accountable Care Organizations (ACOs) are networks of doctors, hospitals and other health providers who work together as a team to provide coordinated high quality care to their patients.

  • ACOs take a patient-centered approach to care. This means that you are included every step of the way so that you and your child get the right care at the right time in the right setting.
  • Providers in accountable care organizations share financial and medical responsibility for providing coordinated care with the goal of keeping patients as healthy as possible and lowering health care costs.

Boston Children’s Hospital and its affiliated specialists and primary care physicians, in both the hospital and community setting, are participating in two ACOs:

  • Boston Children’s Health ACO is part of a MassHealth (Medicaid) ACO with Tufts Health Public Plans
  • Children’s Hospital Integrated Care Organization (CHICO) is a part of an ACO with Blue Cross Blue Shield of Massachusetts

These participating providers all work together as a team to meet the health care needs of their accountable care patient populations, including patients with complex health care needs, behavioral health needs and other challenges.

What is changing?

Boston Children’s Hospital and its affiliated providers have participated in ACOs since 2012. Beginning in 2018, many more of our patients will be covered through these types of plans. Boston Children’s Hospital’s participation in these arrangements is an important part of our commitment to providing high value, high quality, coordinated care, and it is important that patients and families remain at the center of everything we do.

As part of their patient focus, the ACOs have formed a Patient and Family Advisory Committee that includes patient family representation to make sure the patient’s voice is heard on issues related to ACO services, quality, patient experience and other concerns.

How does this affect my child’s treatment and care?

The care your child gets at Boston Children’s Hospital will not change if you and your child are enrolled in an accountable care organization. Your child can see the same Boston Children’s Hospital doctors and can keep getting the same Boston Children’s Hospital services.

How do I find out more about the ACOs?

We want to hear from you about how the ACOs can improve your child’s health care experience at Boston Children’s Hospital and in our affiliated community locations. Our goal is to learn what works and what doesn’t, and to find fast solutions. You can find out more about the ACOs and let us know about any issues or concerns you have about the ACOs by emailing