Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library Accountable Care Organizations Serving Deprived Communities Are Less Likely to Share in Savings Accountable Care Organizations Serving Deprived Communities Are Less Likely to Share in Savings 2019 Author(s) Webb, Alex R, Liaw, Winston R, Chung, YoonKyung, Petterson, Stephen M, and Bazemore, Andrew W Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Cost Of Care, Medicare, Payment, Practice Innovations, and Practice Organization / Ownership Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine Purpose: Primary care physicians are increasingly participating in accountable care organizations (ACOs). While prior studies have identified ACO and patient characteristics associated with savings, none have examined characteristics of the communities served by ACOs. Our objective was to assess the relationship between an ACO’s service area characteristics and its savings rate.Methods: In this cross-sectional study, we used the Centers for Medicare and Medicaid Services 2014 Medicare Shared Savings Program ACO Provider and Beneficiary, and Public Use Files to identify ACO and beneficiary characteristics. We used the American Community Survey to measure community deprivation at the ACO service area–level by using the social deprivation index. The outcome of interest was the ACO savings rate. We conducted bivariate analyses and regressions, adjusting for ACO organization and beneficiary characteristics.Results: Our sample consisted of 320 ACOs participating in the Shared Savings Plan. The savings rate for ACOs serving the most deprived communities was 1.19% compared with 1.14% for those serving the least deprived. Adjusting for ACO and beneficiary characteristics, however, ACOs serving the most deprived had a savings rate that was 2.3 percentage points lower than those serving the least deprived.Conclusions: ACOs serving deprived communities generate less savings. These findings are important to primary care practices, payers, and policy makers anticipating continued ACO expansion, if population health is to be achieved equitably. Read More ABFM Research Read all 2021 Reenvisioning Family Medicine Residency Education Go to Reenvisioning Family Medicine Residency Education 2016 Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes Go to Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes 2020 Improving Performance Improvement Go to Improving Performance Improvement 2021 Distribution of Physician Specialties by Rurality Go to Distribution of Physician Specialties by Rurality
Author(s) Webb, Alex R, Liaw, Winston R, Chung, YoonKyung, Petterson, Stephen M, and Bazemore, Andrew W Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Cost Of Care, Medicare, Payment, Practice Innovations, and Practice Organization / Ownership Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2021 Reenvisioning Family Medicine Residency Education Go to Reenvisioning Family Medicine Residency Education 2016 Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes Go to Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes 2020 Improving Performance Improvement Go to Improving Performance Improvement 2021 Distribution of Physician Specialties by Rurality Go to Distribution of Physician Specialties by Rurality
2021 Reenvisioning Family Medicine Residency Education Go to Reenvisioning Family Medicine Residency Education
2016 Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes Go to Care Coordination and Population Management Services Are More Prevalent in Large Practices and Patient-centered Medical Homes
2021 Distribution of Physician Specialties by Rurality Go to Distribution of Physician Specialties by Rurality
