ArticleHealth services research2018
Medicare Accountable Care Organizations of Diverse Structures Achieve Comparable Quality and Cost Performance.
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 12 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
12 citing papers in PubMed.
- Medicaid Accountable Care Model Designs and Maternal Health Measures.JAMA network open · 2025Article
- The impact of an innovative payment model on the direct economic burden of infectious disease inpatients: evidence from a pilot City in central China.International journal for equity in health · 2025Article
- Association between physician-hospital integration and inpatient care delivery in accountable care organizations: An instrumental variable analysis.Health services research · 2024Article
- The Impact of Delivery Reform on Health Information Exchange with Behavioral Health Providers: Results from a National Representative Survey of Ambulatory Physicians.Administration and policy in mental health · 2024Article
- Practice Site Heterogeneity within and between Medicaid Accountable Care Organizations.Healthcare (Basel, Switzerland) · 2024Article
- Behavioral health treatment delivery by social workers in accountable care organizations.Social work in health care · 2024Article
- Small practice participation and performance in Medicare accountable care organizations.The American journal of managed care · 2022Article
- Ten-Year Evaluation of the Population-Based Integrated Health Care System "Gesundes Kinzigtal".Deutsches Arzteblatt international · 2021Observational
- Care integration within and outside health system boundaries.Health services research · 2020Article
- How Do Accountable Care Organizations Deliver Preventive Care Services? A Mixed-Methods Study.Journal of general internal medicine · 2019Article
- What Can Canada Learn From Accountable Care Organizations: A Comparative Policy Analysis.International journal of integrated careArticle
- Nurse Practitioner Involvement in Medicare Accountable Care Organizations: Association With Quality of Care.American journal of medical quality : the official journal of the American College of Medical QualityArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo examine whether an empirically derived taxonomy of Accountable Care Organizations (ACOs) is associated with quality and spending performance among patients of ACOs in the Medicare Shared Savings Program (MSSP). DATA SOURCES: Three waves of the National Survey of ACOs and corresponding publicly available Centers for Medicare & Medicaid Services performance data for NSACO respondents participating in the MSSP (N = 204); SK&A Office Based Physicians Database from QuintilesIMS. STUDY
designWe compare the performance of three ACO types (physician-led, integrated, and hybrid) for three domains: quality, spending, and likelihood of achieving savings. Sources of performance variation within and between ACO types are compared for each performance measure. PRINCIPAL
findingsThere is greater heterogeneity within ACO types than between ACO types. There were no consistent differences in quality by ACO type, nor were there differences in likelihood of achieving savings or overall spending per-person-year. There was evidence for higher spending on physician services for physician-led ACOs.
conclusionsACOs of diverse structures perform comparably on core MSSP quality and spending measures. CMS should maintain its flexibility and continue to support participation of diverse ACOs. Future research to identify modifiable organizational factors that account for performance variation within ACO types may provide insight as to how best to improve ACO performance based on organizational structure and ownership.
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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.