ArticleMedical care research and review : MCRR2020
Accountable Care Organizations and Post-Acute Care: A Focus on Preferred SNF Networks.
Article in Medical care research and review : MCRR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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, 1 synthesis or guideline pooled it.
- Trends and Disparities in Post-acute Care Utilization After Hospitalization for Sepsis in the United States: A Systematic Review.Medical care · 2026Pooled it
- Post-Hospital Access to Preferred and High-Quality Skilled Nursing Facilities for Patients With Opioid Use Disorder.Health services research · 2026Article
- Hospital and Skilled Nursing Facility Networks: Informal Relationships and Their Role in the Placement of Traditional Medicare Beneficiaries With Serious Mental Illness.Health services research · 2025Article
- Do Medicare Beneficiaries Under Accountable Care or Medicare Advantage Use Lower Quality Nursing Homes?Journal of the American Geriatrics Society · 2025Article
- Do Medicare Accountable Care Organizations Impact Health Care Utilization among Long-Stay Nursing Home Residents?Journal of the American Medical Directors Association · 2025Article
- Changes in spending and quality after ACO contract participation for dually eligible beneficiaries with mental illness.Healthcare (Amsterdam, Netherlands) · 2023Article
- Association of Skilled Nursing Facility Ownership by Health Care Networks With Utilization and Spending.JAMA network open · 2023Article
- The association of vertically integrated care with health care use and outcomes.Health services research · 2021Article
- Reflections on the Five Laws of Integrating Medical and Social Services-21 Years Later.The Milbank quarterly · 2021Article
- Cognitive Biases Influence Decision-Making Regarding Postacute Care in a Skilled Nursing Facility.Journal of hospital medicine · 2020Article
- Transitional Care Outcomes in Veterans Receiving Post-Acute Care in a Skilled Nursing Facility.Journal of the American Geriatrics Society · 2019Observational
- Changes in Use of Postacute Care Associated With Accountable Care Organizations in Hip Fracture, Stroke, and Pneumonia Hospitalized Cohorts.Medical care · 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
5 authors.
Funding
Abstract
Due to high magnitude and variation in spending on post-acute care, accountable care organizations (ACOs) are focusing on transforming management of hospital discharge through relationships with preferred skilled nursing facilities (SNFs). Using a mixed-methods design, we examined survey data from 366 respondents to the National Survey of ACOs along with 16 semi-structured interviews with ACOs who performed well on cost and quality measures. Survey data revealed that over half of ACOs had no formal relationship with SNFs; however, the majority of ACO interviewees had formed preferred SNF networks. Common elements of networks included a comprehensive focus on care transitions beginning at hospital admission, embedded ACO staff across settings, solutions to support information sharing, and jointly established care protocols. Misaligned incentives, unclear regulations, and a lack of integrated health records remained challenges, yet preferred networks are beginning to transform the ACO post-acute care landscape.
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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.