Journal article
Organizational Attributes Associated With Medicare ACO Quality Performance
The Journal of rural health, Vol.35(1), pp.68-77
01/2019
DOI: 10.1111/jrh.12304
PMID: 29737573
Abstract
To evaluate associations between geographic, structural, and service-provision attributes of Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) and the ACOs' quality performance.
We conducted cross-sectional and longitudinal analyses of ACO quality performance using data from the Centers for Medicare and Medicaid Services and additional sources. The sample included 322 and 385 MSSP ACOs that had successfully reported quality measures in 2014 and 2015, respectively.
Results show that after adjusting for other organizational factors, rural ACOs' average quality score was comparable to that of ACOs serving other geographic categories. ACOs with hospital-system sponsorship, larger beneficiary panels, and higher posthospitalization follow-up rates achieved better quality performance.
There is no significant difference in average quality performance between rural ACOs and other ACOs after adjusting for structural and service-provision factors. MSSP ACO quality performance is positively associated with hospital-system sponsorship, beneficiary panel size, and posthospitalization follow-up rate.
Details
- Title: Subtitle
- Organizational Attributes Associated With Medicare ACO Quality Performance
- Creators
- Xi Zhu - Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IowaKeith Mueller - Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IowaHuang Huang - Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IowaFred Ullrich - Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IowaThomas Vaughn - Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IowaA Clinton MacKinney - Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of rural health, Vol.35(1), pp.68-77
- Publisher
- England
- DOI
- 10.1111/jrh.12304
- PMID
- 29737573
- ISSN
- 0890-765X
- eISSN
- 1748-0361
- Grant note
- DOI: 10.13039/100010001, name: Federal Office of Rural Health Policy, award: U1C RH20419; DOI: 10.13039/100000016, name: U.S. Department of Health and Human Services; DOI: 10.13039/100000102, name: Health Resources and Services Administration
- Language
- English
- Date published
- 01/2019
- Academic Unit
- Health Management and Policy; Nursing; Public Policy Center (Archive)
- Record Identifier
- 9984063114902771
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