ArticleHealth affairs (Project Hope)2017
ACOs Serving High Proportions Of Racial And Ethnic Minorities Lag In Quality Performance.
Article in Health affairs (Project Hope), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 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.
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Who cites it
48 citing papers in PubMed.
- Medicare Shared Savings Program and Disparities for Patients With Low Income.JAMA network open · 2026Article
- Association of Pathways to Success Launch With Quality inBeneficiaries With Traditional Medicare.Health services research · 2026Article
- Racial and Ethnic Disparities in Preventive and Chronic Disease Care in Medicare Advantage vs. Traditional Medicare.Journal of general internal medicine · 2026Article
- Rural-urban disparities in diabetes quality of care with accountable care organization participation.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Cardiovascular Health at the Intersection of Race and Gender in Medicare Fee for Service.JAMA health forum · 2025Article
- Chronic Conditions and Health Care Use Comparison Between Transgender/Gender Diverse and Cisgender Medicare Beneficiaries.Transgender health · 2025Article
- Year 1 of Medicare's Accountable Care Organization Realizing Equity, Access, and Community Health Model.JAMA health forum · 2025Article
- Early Effects of Pathways to Success on Utilization in Traditional Medicare.Health services research · 2025Article
- Telehealth Infrastructure, Accountable Care Organization, and Medicare Payment for Patients with Alzheimer's Disease and Related Dementia Living in Socially Vulnerable Areas.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Article
- Measuring value in health care: lessons from accountable care organizations.Health affairs scholar · 2024Article
- Behavioral health treatment delivery by social workers in accountable care organizations.Social work in health care · 2024Article
- Segregated Patterns of Hospital Care Delivery and Health Outcomes.JAMA health forum · 2023Article
- Variation in Risk-Standardized Acute Admission Rates Among Patients With Heart Failure in Accountable Care Organizations: Implications for Quality Measurement.Journal of the American Heart Association · 2023Article
- Clinical Validity of the PROMIS Healthcare Engagement 8-Item Short Form.Journal of general internal medicine · 2023Article
- The Next Generation of Payment Reforms for Population Health - An Actionable Agenda for 2035 Informed by Past Gains and Ongoing Lessons.The Milbank quarterly · 2023Article
- Maternal Health Equity in Medicaid Accountable Care Organizations: Early Lessons from the Massachusetts Experience.Health equity · 2023Article
- Discrepancies in Outcomes by Race and Ethnicity in COVID-19 Patients Receiving Casirivimab and Imdevimab.Southern medical journal · 2023Article
- Accountable Care Organizations and Health Disparities of Rural Latinos: A Longitudinal Analysis.Population health management · 2022Article
- Exit Rates of Accountable Care Organizations That Serve High Proportions of Beneficiaries of Racial and Ethnic Minority Groups.JAMA health forum · 2022Observational
- Racial disparities in hypertension management among multiple sclerosis patients.Multiple sclerosis and related disorders · 2022Article
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5 authors.
Funding
Abstract
Accountable care organizations (ACOs) are intended, in part, to improve health care quality. However, little is known about how ACOs may affect disparities or how providers serving disadvantaged patients perform under Medicare ACO contracts. We analyzed racial and ethnic disparities in health care outcomes among ACOs to investigate the association between the share of an ACO's patients who are members of racial or ethnic minority groups and the ACO's performance on quality measures. Using data from Medicare and a national survey of ACOs, we found that having a higher proportion of minority patients was associated with worse scores on twenty-five of thirty-three Medicare quality performance measures, two disease composite measures, and an overall quality composite measure. However, ACOs serving a high share of minority patients were similar to other ACOs in most observable characteristics and capabilities, including provider composition, services, and clinical capabilities. Our findings suggest that ACOs with a high share of minority patients may struggle with quality performance under ACO contracts, especially during their early years of participation-maintaining or potentially exacerbating current inequities. Policy makers must consider how to refine ACO programs to encourage the participation of providers that serve minority patients and to reward performance appropriately.
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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.