ArticleMedical care2016
Preventive Care Quality of Medicare Accountable Care Organizations: Associations of Organizational Characteristics With Performance.
Article in Medical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- Medicaid Accountable Care Model Designs and Maternal Health Measures.JAMA network open · 2025Article
- Parent-identified opportunities for improving asthma care for children insured by Medicaid following implementation of statewide Medicaid Accountable Care Organizations in Massachusetts.Frontiers in allergy · 2025Article
- Association between physician-hospital integration and inpatient care delivery in accountable care organizations: An instrumental variable analysis.Health services research · 2024Article
- Association Between Organizational Quality and Out-of-Network Primary Care Among Accountable Care Organizations That Care for High vs Low Proportions of Patients of Racial and Ethnic Minority Groups.JAMA health forum · 2022Article
- Thematic Analysis of Organizational Characteristics in NCI Community Oncology Research Program Cancer Care Delivery Research.JNCI cancer spectrum · 2022Article
- Organizational Characteristics Associated with High Performance in Medicare's Comprehensive End-Stage Renal Disease Care Initiative.Clinical journal of the American Society of Nephrology : CJASN · 2021Article
- Association between specialist compensation and Accountable Care Organization performance.Health services research · 2020Article
- Racial and Ethnic Disparities in Serious Psychological Distress Among Those With Alzheimer's Disease and Related Dementias.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020Article
- What Are the Determinants of Health System Performance? Findings from the Literature and a Technical Expert Panel.Joint Commission journal on quality and patient safety · 2020Review
- Mailed FIT (fecal immunochemical test), navigation or patient reminders? Using microsimulation to inform selection of interventions to increase colorectal cancer screening in Medicaid enrollees.Preventive medicine · 2019Article
- How Do Accountable Care Organizations Deliver Preventive Care Services? A Mixed-Methods Study.Journal of general internal medicine · 2019Article
- Health Information Technology and Accountable Care Organizations: A Systematic Review and Future Directions.EGEMS (Washington, DC) · 2019Review
- ACO Contracts With Downside Financial Risk Growing, But Still In The Minority.Health affairs (Project Hope) · 2019Article
- Does a transition to accountable care in Medicaid shift the modality of colorectal cancer testing?BMC health services research · 2019Article
- Comparison of Approaches for Aggregating Quality Measures in Population-based Payment Models.Health services research · 2018Article
- Article
- Quality of Care Improves for Patients with Diabetes in Medicare Shared Savings Accountable Care Organizations: Organizational Characteristics Associated with Performance.Population health management · 2018Article
- ACOs with risk-bearing experience are likely taking steps to reduce low-value medical services.The American journal of managed care · 2018Article
- Primary care colorectal cancer screening correlates with breast cancer screening: implications for colorectal cancer screening improvement interventions.Clinical and translational gastroenterology · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAccountable Care Organizations (ACOs) are a delivery and payment model aiming to coordinate care, control costs, and improve quality. Medicare ACOs are responsible for 8 measures of preventive care quality.
objectivesTo create composite measures of preventive care quality and examine associations of ACO characteristics with performance.
designThis is a cross-sectional study of Medicare Shared Savings Program and Pioneer participants. We linked quality performance to descriptive data from the National Survey of ACOs. We created composite measures using exploratory factor analysis, and used regression to assess associations with organizational characteristics.
resultsOf 252 eligible ACOs, 246 reported on preventive care quality, 177 of which completed the survey (response rate=72%). In their first year, ACOs lagged behind PPO performance on the majority of comparable measures. We identified 2 underlying factors among 8 measures and created composites for each: disease prevention, driven by vaccines and cancer screenings, and wellness screening, driven by annual health screenings. Participation in the Advanced Payment Model, having fewer specialists, and having more Medicare ACO beneficiaries per primary care provider were associated with significantly better performance on both composites. Better performance on disease prevention was also associated with inclusion of a hospital, greater electronic health record capabilities, a larger primary care workforce, and fewer minority beneficiaries.
conclusionsACO preventive care quality performance is related to provider composition and benefitted by upfront investment. Vaccine and cancer screening quality performance is more dependent on organizational structure and characteristics than performance on annual wellness screenings, likely due to greater complexity in eligibility determination and service administration.
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