ArticleHealth services research2018
Factors That Distinguish High-Performing Accountable Care Organizations in the Medicare Shared Savings Program.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.BMJ quality & safety · 2019Pooled it
- Attributes of High-Performing Small Practices in a Guideline Implementation: A Multiple-Case Study.Journal of primary care & community healthTrial
- Association between physician-hospital integration and inpatient care delivery in accountable care organizations: An instrumental variable analysis.Health services research · 2024Article
- Do physician networks with standardized audit and feedback deliver better quality care for older patients compared to regular care?: a quasi-experimental study using claims data from Bavaria, Germany.European journal of public health · 2023Article
- Program managers' perspectives on using knowledge to support population health management initiatives in their development towards health and wellbeing systems: a qualitative study.Health research policy and systems · 2023Article
- Factors Associated with Compliance to the Hospital Price Transparency Final Rule: a National Landscape Study.Journal of general internal medicine · 2022Observational
- Best and worst performing health facilities: A positive deviance analysis of perceived drivers of primary care performance in Nepal.Social science & medicine (1982) · 2022Article
- The Relationship Between Governing Board Composition and Medicare Shared Savings Program Accountable Care Organizations Outcomes: an Observational Study.Journal of general internal medicine · 2022Observational
- Pandemic Pause: Systematic Review of Cost Variables for Ambulatory Care Organizations Participating in Accountable Care Organizations.Healthcare (Basel, Switzerland) · 2021Review
- 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
- Health Information Technology and Accountable Care Organizations: A Systematic Review and Future Directions.EGEMS (Washington, DC) · 2019Review
- Care Transformation Strategies and Approaches of Accountable Care Organizations.Medical care research and review : MCRR · 2019Article
- Trust, Money, and Power: Life Cycle Dynamics in Alliances Between Management Partners and Accountable Care Organizations.The Milbank quarterly · 2018Article
- Medicare Spending after 3 Years of the Medicare Shared Savings Program.The New England journal of medicine · 2018Article
- Transformation of the Health Care Industry: Curb Your Enthusiasm?The Milbank quarterly · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify factors that promote the effective performance of accountable care organizations (ACOs) in the Medicare Shared Savings Program. DATA SOURCES/STUDY
settingData come from a convenience sample of 16 Medicare Shared Savings ACOs that were organized around large physician groups. We use claims data from the Center for Medicaid and Medicare Services and data from 60 interviews at three high-performing and three low-performing ACOs. STUDY
designExplanatory sequential design, using qualitative data to account for patterns observed in quantitative assessment of ACO performance. DATA COLLECTION
methodsA total of 16 ACOs were first rank-ordered on measures of cost and quality of care; we then selected three high and three low performers for site visits; interview data were content-analyzed. PRINCIPAL
findingsResults identify several factors that distinguish high- from low-performing ACOs: (1) collaboration with hospitals; (2) effective physician group practice prior to ACO engagement; (3) trusted, long-standing physician leaders focused on improving performance; (4) sophisticated use of information systems; (5) effective feedback to physicians; and (6) embedded care coordinators.
conclusionsShorter interventions can improve ACO performance-use of embedded care coordinators and local, regional health information systems; timely feedback of performance data. However, longer term interventions are needed to promote physician-hospital collaboration and skills of physician leaders. CMS and other stakeholders need realistic timelines for ACO performance.
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