ArticleCancer2016
Early impact of Medicare accountable care organizations on cancer surgery outcomes.
Article in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Value-Based Provider Payment Initiatives Combining Global Payments With Explicit Quality Incentives: A Systematic Review.Medical care research and review : MCRR · 2020Pooled it
- Effects of Monetary Incentives in Physician Groups: A Systematic Review of Reviews.Applied health economics and health policy · 2020Pooled it
- Pooled it
- Pooled it
- Association between hospital participation in Medicare Shared Savings Program and hospital use of robotic surgical approach.Surgical endoscopy · 2025Article
- Spending outcomes among patients with cancer in accountable care organizations 4 years after implementation.Cancer · 2022Article
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- Association of Teaching Status and Mortality After Cancer Surgery.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021Article
- Medicare Accountable Care Organizations and the Adoption of New Surgical Technology.Journal of the American College of Surgeons · 2021Article
- Changes in Racial Disparities in Mortality After Cancer Surgery in the US, 2007-2016.JAMA network open · 2020Article
- Medicare Accountable Care Organizations Reduce Spending on Surgery.American journal of accountable care · 2020Article
- Characterising 'bounce-back' readmissions after radical cystectomy.BJU international · 2019Article
- Early Accountable Care Organization Results in End-of-Life Spending Among Cancer Patients.Journal of the National Cancer Institute · 2019Article
- Gynecologic oncology care in the world of accountable care organizations.Gynecologic oncology reports · 2019Article
- Association Between Hospital Participation in Medicare Shared Savings Program Accountable Care Organizations and Readmission Following Major Surgery.Annals of surgery · 2019Article
- Medicare Accountable Care Organizations and Use of Potentially Low-Value Procedures.Surgical innovation · 2019Article
- Early Impact of Medicare Accountable Care Organizations on Inpatient Surgical Spending.Annals of surgery · 2019Article
- Does a transition to accountable care in Medicaid shift the modality of colorectal cancer testing?BMC health services research · 2019Article
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6 authors.
Funding
Abstract
backgroundAccountable care organizations (ACOs) were established to improve care and outcomes for beneficiaries requiring highly coordinated, complex care. The objective of this study was to evaluate the association between hospital ACO participation and the outcomes of major surgical oncology procedures.
methodsThis was a retrospective cohort study of Medicare beneficiaries older than 65 years who were undergoing a major surgical resection for colorectal, bladder, esophageal, kidney, liver, ovarian, pancreatic, lung, or prostate cancer from 2011 through 2013. A difference-in-differences analysis was implemented to compare the postimplementation period (January 2013 through December 2013) with the baseline period (January 2011 through December 2012) to assess the impact of hospital ACO participation on 30-day mortality, complications, readmissions, and length of stay (LOS).
resultsAmong 384,519 patients undergoing major cancer surgery at 106 ACO hospitals and 2561 control hospitals, this study found a 30-day mortality rate of 3.4%, a readmission rate of 12.5%, a complication rate of 43.8%, and a prolonged LOS rate of 10.0% in control hospitals and similar rates in ACO hospitals. Secular trends were noted, with reductions in perioperative adverse events in control hospitals between the baseline and postimplementation periods: mortality (percentage-point reduction, 0.1%; P = .19), readmissions (percentage-point reduction, 0.4%; P = .001), complications (percentage-point reduction, 1.0%; P < .001), and prolonged LOS (percentage-point reduction, 1.1%; P < .001). After accounting for these secular trends, this study identified no significant effect of hospital participation in an ACO on the frequency of perioperative outcomes (difference-in-differences estimator P values, .24-.72).
conclusionsEarly hospital participation in the Medicare Shared Savings Program ACO program was not associated with greater reductions in adverse perioperative outcomes for patients undergoing major cancer surgery in comparison with control hospitals. Cancer 2016. © 2016 American Cancer Society. Cancer 2016;122:2739-2746. © 2016 American Cancer Society.
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