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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 2019 Associations Between Burnout and Practice Organization in Family Physicians Go to Associations Between Burnout and Practice Organization in Family Physicians 2012 ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky Go to ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky 2023 Measuring Trust in Primary Care Go to Measuring Trust in Primary Care 2020 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices.
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 2019 Associations Between Burnout and Practice Organization in Family Physicians Go to Associations Between Burnout and Practice Organization in Family Physicians 2012 ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky Go to ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky 2023 Measuring Trust in Primary Care Go to Measuring Trust in Primary Care 2020 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices.
2019 Associations Between Burnout and Practice Organization in Family Physicians Go to Associations Between Burnout and Practice Organization in Family Physicians
2012 ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky Go to ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky
2020 Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices. Go to Meaningful Use And Medical Home Functionality In Primary Care Practice: Study examines the implementation of patient-centered medical home model and the adoption and meaningful use of health information technology in US physician practices.