What value do teaching hospitals provide commercial beneficiaries when in an ACO?
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View abstract on PubMed
Summary
This summary is machine-generated.Accountable care organizations (ACOs) with major teaching hospitals show better value-based care outcomes. These teaching ACOs demonstrate lower mortality and spending, highlighting their effectiveness in achieving healthcare goals.
Area Of Science
- Healthcare Management
- Value-Based Care
- Health Services Research
Background
- Commercial beneficiary enrollment in Accountable Care Organizations (ACOs) is increasing.
- Limited research exists on trends within commercial ACOs.
Purpose Of The Study
- To compare outcomes for beneficiaries in Medicare Shared Savings Program ACOs with and without major teaching hospitals.
- To analyze mortality and spending trends in commercial ACOs.
Main Methods
- Analysis of commercial claims data from 2019-2021.
- Comparison of beneficiaries attributed to teaching versus non-teaching ACOs.
- Calculation of mortality and spending by setting and year.
Main Results
- Major teaching ACOs exhibited lower mortality rates (up to 2.2 pp) and inpatient spending ($283 per beneficiary).
- Teaching ACOs showed reduced emergency department utilization but higher overall outpatient spending ($146).
- Both ACO types experienced increased mortality and risk scores during COVID-19, indicating health outcome disruptions.
Conclusions
- ACOs with major teaching hospitals appear better positioned to meet value-based care objectives.
- Strategies may involve reducing high-intensity care and promoting cost-effective outpatient services.
- Timely, high-quality outpatient care can decrease inpatient and emergency department utilization.
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