ArticleHealth affairs (Project Hope)2016
ACOs Holding Commercial Contracts Are Larger And More Efficient Than Noncommercial ACOs.
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 14 papers.
What it found
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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.
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Who cites it
14 citing papers in PubMed.
- Organizational characteristics associated with sustained participation in internal quality improvement: Findings from two waves of a national sample of physician practices in the United States.Social science & medicine (1982) · 2025Article
- Overcoming silos in health care systems through meso-level organisations - a case study of health reforms in New South Wales, Australia.The Lancet regional health. Western Pacific · 2024Review
- Practice Site Heterogeneity within and between Medicaid Accountable Care Organizations.Healthcare (Basel, Switzerland) · 2024Article
- Population turnover and leakage in commercial ACOs.The American journal of managed care · 2023Article
- Findings From a Commercial ACO Patient Experience Survey.Journal of patient experience · 2021Article
- Barriers and Facilitators to Implementation of Value-Based Care Models in New Medicaid Accountable Care Organizations in Massachusetts: A Study Protocol.Frontiers in public health · 2021Article
- Association between specialist compensation and Accountable Care Organization performance.Health services research · 2020Article
- Physician practices in Accountable Care Organizations are more likely to collect and use physician performance information, yet base only a small proportion of compensation on performance data.Health services research · 2019Article
- Evidence and Implications Behind a National Decline in Primary Care Visits.Journal of general internal medicine · 2019Article
- Health Information Technology and Accountable Care Organizations: A Systematic Review and Future Directions.EGEMS (Washington, DC) · 2019Review
- Organizational influences on healthcare system adoption and use of advanced health information technology capabilities.The American journal of managed care · 2019Article
- Moving Organizational Culture from Volume to Value: A Qualitative Analysis of Private Sector Accountable Care Organization Development.Health services research · 2018Article
- Medicare Accountable Care Organizations of Diverse Structures Achieve Comparable Quality and Cost Performance.Health services research · 2018Article
- ACOs with risk-bearing experience are likely taking steps to reduce low-value medical services.The American journal of managed care · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
Accountable care organizations (ACOs) have diverse contracting arrangements and have displayed wide variation in their performance. Using data from national surveys of 399 ACOs, we examined differences between the 228 commercial ACOs (those with commercial payer contracts) and the 171 noncommercial ACOs (those with only public contracts, such as with Medicare or Medicaid). Commercial ACOs were significantly larger and more integrated with hospitals, and had lower benchmark expenditures and higher quality scores, compared to noncommercial ACOs. Among all of the ACOs, there was low uptake of quality and efficiency activities. However, commercial ACOs reported more use of disease monitoring tools, patient satisfaction data, and quality improvement methods than did noncommercial ACOs. Few ACOs reported having high-level performance monitoring capabilities. About two-thirds of the ACOs had established processes for distributing any savings accrued, and these ACOs allocated approximately the same amount of savings to the ACOs themselves, participating member organizations, and physicians. Our findings demonstrate that ACO delivery systems remain at a nascent stage. Structural differences between commercial and noncommercial ACOs are important factors to consider as public policy efforts continue to evolve.
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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.