Date of Award

Spring 5-2010

Degree Type


Degree Name

Master of Public Health

Field of Study

Health Management and Policy


School of Public Health

First Advisor

Dr. Kristine Lykens


Scott & White Healthcare of Temple is Texas’s only example of an “Accountable Care Organization” (ACO), as described in the national health reform of March 2010. This case study seeks to identify how Scott & White is able to contain costs while maintaining patient health and satisfaction and why they were able to create their unique system. Conclusions were drawn from personal interviews with Scott & White administrators, physicians, and staff, whose responses were analyzed for recurring themes addressing the research questions. This case study concludes that Scott & White promotes accountability by achieving an alignment of incentives: namely, a physician led governance structure and electronic health record, integration with their health plan, and being open to other payers.