ArticleHealth affairs (Project Hope)2016
Physicians' Participation In ACOs Is Lower In Places With Vulnerable Populations Than In More Affluent Communities.
Article in Health affairs (Project Hope), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 61 citations in OpenAlex.
- Medicare Shared Savings Program and Disparities for Patients With Low Income.JAMA network open · 2026Article
- Accountable care organizations and Medicare payments for residents with ADRD in disadvantaged neighborhoods.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Association between mandatory bundled payments and changes in socioeconomic disparities for joint replacement outcomes.Health services research · 2024Observational
- Measuring value in health care: lessons from accountable care organizations.Health affairs scholar · 2024Article
- The role of payment and financing in achieving health equity.Health services research · 2023Article
- What Should Antiracist Payment Reform Look Like?AMA journal of ethics · 2023Article
- The Proportion of Marginalized Individuals in US Communities and Hospital Participation in Bundled Payments.Population health management · 2022Article
- A Global Equity Model (GEM) for the Advancement of Community Health and Health Equity.NAM perspectives · 2022Review
- Physician Compensation In Physician-Owned And Hospital-Owned Practices.Health affairs (Project Hope) · 2021Article
- FQHC Designation and Safety Net Patient Revenue Associated with Primary Care Practice Capabilities for Access and Quality.Journal of general internal medicine · 2021Article
- Disparities in Preventable Hospitalization Among Patients With Alzheimer Diseases.American journal of preventive medicine · 2021Article
- Between-Community Low-Income Status and Inclusion in Mandatory Bundled Payments in Medicare's Comprehensive Care for Joint Replacement Model.JAMA network open · 2021Article
- Practice composition and sex differences in physician income: observational study.BMJ (Clinical research ed.) · 2020Observational
- Association of Utilization Management Policy With Uptake of Hypofractionated Radiotherapy Among Patients With Early-Stage Breast Cancer.JAMA oncology · 2020Article
- Proportion of Racial Minority Patients and Patients With Low Socioeconomic Status Cared for by Physician Groups After Joining Accountable Care Organizations.JAMA network open · 2020Article
- Out-Of-Network Primary Care Is Associated With Higher Per Beneficiary Spending In Medicare ACOs.Health affairs (Project Hope) · 2020Article
- How Do Accountable Care Organizations Deliver Preventive Care Services? A Mixed-Methods Study.Journal of general internal medicine · 2019Article
- Characteristics of Physicians Participating in Medicare's Oncology Care Model Bundled Payment Program.Journal of oncology practice · 2019Article
- Social Risk Adjustment of Quality Measures for Diabetes and Cardiovascular Disease in a Commercially Insured US Population.JAMA network open · 2019Article
- Association of Physician Group Participation in Accountable Care Organizations With Patient Social and Clinical Characteristics.JAMA network open · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
Abstract
Early evidence suggested that accountable care organizations (ACOs) could improve health care quality while constraining costs, and ACOs are expanding throughout the United States. However, if disadvantaged patients have unequal access to physicians who participate in ACOs, that expansion may exacerbate health care disparities. We examined the relationship between physicians' participation in both Medicare and commercial ACOs across the country and the sociodemographic characteristics of their likely patient populations. Physicians' participation in ACOs varied widely across hospital referral regions, from nearly 0 percent to over 85 percent. After we adjusted for individual physician and practice characteristics, we found that physicians who practiced in ZIP Code Tabulation Areas where a higher percentage of the population was black, living in poverty, uninsured, or disabled or had less than a high school education-compared to other areas-had significantly lower rates of ACO participation than other physicians. Our findings suggest that vulnerable populations' access to physicians participating in ACOs may not be as great as access for other groups, which could exacerbate existing disparities in health care quality.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.