ArticleMedical care research and review : MCRR2019
Care Transformation Strategies and Approaches of Accountable Care Organizations.
Article in Medical care research and review : MCRR, 2019. 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
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
14 citing papers in PubMed.
- Do Medicare Accountable Care Organizations Impact Health Care Utilization among Long-Stay Nursing Home Residents?Journal of the American Medical Directors Association · 2025Article
- Spending Changes After Moving to Areas With Greater ACO Participation Among Nonattributed Medicare Beneficiaries.JAMA network open · 2025Article
- Medicare Payments and ACOs for Dementia Patients Across Race and Social Vulnerability.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024Article
- Telehealth medication management and health care spending in a Medicare Accountable Care Organization.Journal of managed care & specialty pharmacy · 2023Article
- The impact of Medicare shared savings program participation on hospital financial performance: An event-study analysis.Health services research · 2023Article
- Access to mental health support services in Accountable Care Organizations: A national survey.Healthcare (Amsterdam, Netherlands) · 2022Article
- The implementation of value-based healthcare: a scoping review.BMC health services research · 2022Article
- Are health systems redesigning how health care is delivered?Health services research · 2020Article
- Understanding how health systems facilitate primary care redesign.Health services research · 2020Article
- Low-Value Care and Clinician Engagement in a Large Medicare Shared Savings Program ACO: a Survey of Frontline Clinicians.Journal of general internal medicine · 2020Article
- The Medicare Shared Savings Program and Outcomes for Ischemic Stroke Patients: a Retrospective Cohort Study.Journal of general internal medicine · 2019Article
- Health Information Technology and Accountable Care Organizations: A Systematic Review and Future Directions.EGEMS (Washington, DC) · 2019Review
- Characteristics of Future Models of Integrated Outpatient Care.Healthcare (Basel, Switzerland) · 2019Review
- 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.
Funding
Abstract
Although accountable care organizations (ACOs) proliferate, little is known about the activities and strategies ACOs are pursuing to meet goals of reducing costs and improving quality. We use semistructured interviews with executives at 16 ACOs to understand ACO approaches. We identified two overarching ACO approaches to changing clinical care: a practice-based transformation approach, working to overhaul care processes and teams from the inside out; and an overlay approach, where ACO activities were centralized and delivered external to physician practices. We additionally identified four methods ACOs were using to achieve their aims: using patient support roles; targeted clinics, events, programs, and interventions; clinical process standardization; and tracking and identifying patients on which to focus resources. We expect that ACOs using either of the major approaches can succeed under current ACO programs, but that as value-based payment programs mature, ACOs will need to undertake practice-based approaches to be successful in the long term.
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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.