When we talk about the word alignment, the first thing that comes to mind is automobile: my car. Without it aligned, driving the car becomes difficult and tires tend to deteriorate unevenly and prematurely. Anything that is not in its place or in the correct position tends to be underutilized and loses its flavor. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay In healthcare, the term alignment applies to something deeper. The idea of ​​alignment originated in the 1980s and 1990s. Although the term used then was “integration”, an activity that combines different activities such as administration and strategies of multiple parties. This implies that the parties involved merge all operations into one and operate as one large entity. However, alignment does not necessarily mean a complete merger. Doctor-hospital alignment refers to different methods of collaboration between doctors and hospitals to deliver phenomenal quality care services and desirable outcomes to all patients. The enactment of Obamacare in 2014 spurred a return to alignment in the healthcare system, which had long been put aside after it was first discussed in the 1980s and 1990s. Obamacare encourages Accountable Care Organizations (ACOs) among doctors, hospitals and all other healthcare leaders in the shared responsibility of providing services that are accountable, of good quality and at relatively lower cost. Medical hospital alignment is a strategy to bring about increased quality and financial control of healthcare services. health services and outcomes. The alignment also stems from the school of thought that if doctors and hospitals share the same reimbursement purse they will be forced to work together to achieve great financial and clinical health outcomes. For hospitals, alignment appears to mean that a physician remains with the system as an employee or affiliate and continually advances his or her career goals and objectives with them, meeting the physician's needs, accountable care, long-term sustenance. When the idea of ​​alignment arose in the 1990s, hospitals realized that purchasing a medical practice or having doctors as employees does not automatically mean there will be a change in how doctors relate to and treat their patients. This alignment system decades ago typically generated higher overhead costs and poor sequencing. Although the emergence of Obamacare helped resolve the issue better. For doctors, the alignment seems more complicated. It's everything from how they operate as an individual or practice, to compensation and incentives. These include: doctor-patient relationship, administration, strength of practice, compensation, professional sovereignty and work-life balance, to name a few, ability to share risk. Please note: this is just an example. Get a custom paper from our expert writers now. Get a Custom Essay To experience triumphant clinical integration, doctors and hospitals must align, especially as the US healthcare system is currently undergoing many reforms and sliding into a domain where the provider is paid based on the quality of the care rendered to their patients and easy access. This alignment ensures that physicians and the hospital share in the savings when performance thresholds are reached. So that shared savings occur by aligning the goals of both parties and the objective identity of the essence. On the contrary, if performance levels do not.