ArticleHealth affairs scholar2025
Specialists are central to patient chronic condition care: Medicare ACOs must adapt to this reality.
Article in Health affairs scholar, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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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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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The accountable care organization (ACO) model centers around primary care providers (PCPs) and undervalues the central role that specialists play for many beneficiaries with chronic conditions. This assumption informs beneficiary attribution methods for Medicare ACOs, which prioritize assignment of cost and quality accountability to PCPs over specialists. Yet, in 2023, many traditional Medicare beneficiaries with chronic conditions did not have a PCP as their predominant provider of care, limiting ACOs' ability to engage many beneficiaries with specialists as their predominant providers of care. To better engage specialists delivering chronic condition care, we recommend updating ACO policies to assign greater accountability for beneficiaries with chronic conditions to specialists.
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