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01-10-2018 | Concise Research Reports

Engagement of Accountable Care Organizations in Acute Care Redesign: Results of a National Survey

Authors: Michelle P. Lin, MD, MPH, MS, David Muhlestein, PhD, JD, Brendan G. Carr, MD, MA, MS, Lynne D. Richardson, MD, Jennifer L. Wiler, MD, MBA, Jeremiah D. Schuur, MD, MHS

Published in: Journal of General Internal Medicine | Issue 10/2018

Excerpt

Accountable Care Organizations (ACOs) are integrated provider groups aiming to improve health care value for a population. Hospitalizations account for ~ 32% of US health care expenditures, and ED visits account for up to 6%; therefore, one strategy to improve value is to manage the acute care needs of the population in lower cost settings.1 To date, most cost-reduction efforts have focused on improving chronic disease management, for example, through medication management and decreasing readmissions.2 …

Lee MH, Schuur JD, Zink BJ. Owning the cost of emergency medicine: beyond 2%. Ann Emerg Med. 2013;62(5):498–505.e3. https://doi.org/10.1016/j.annemergmed.2013.03.029.CrossRefPubMed

deLisle K, Litton T, Brennan A, Muhlestein D. The 2017 ACO Survey: What Do Current Trends Tell Us About The Future Of Accountable Care? Health Affairs Blog. October 4, 2017. Available at: https://www.healthaffairs.org/do/10.1377/hblog20171021.165999/full/ Accessed on 17 Apr 2018.

Whittaker W, Anselmi L, Kristensen SR, et al. Associations between extending access to primary care and emergency department visits: a difference-in-differences analysis. PLoS Med. 2016;13(9):e1002113. https://doi.org/10.1371/journal.pmed.1002113.CrossRefPubMedPubMedCentral

David G, Gunnarsson C, Saynisch PA, Chawla R, Nigam S. Do patient-centered medical homes reduce emergency department visits? Health Serv Res. 2015;50(2):418–439. https://doi.org/10.1111/1475-6773.12218.CrossRefPubMed

Raven MC, Kushel M, Ko MJ, Penko J, Bindman AB. The effectiveness of emergency department visit reduction programs: a systematic review. Ann Emerg Med. 2016;68(4):467–483.e15. https://doi.org/10.1016/j.annemergmed.2016.04.015.CrossRefPubMed

Levinson, Daniel R. Office of the Inspector General. Medicare Shared Saving Program Accountable Care Organizations Have Shown Potential for Reducing Spending and Improving Quality. Department of Health and Human Services. OEI-02-15-00450 August, 2017. Available at: https://oig.hhs.gov/oei/reports/oei-02-15-00450.asp Accessed on 17 Apr 2018.

Title: Engagement of Accountable Care Organizations in Acute Care Redesign: Results of a National Survey
Authors: Michelle P. Lin, MD, MPH, MS
David Muhlestein, PhD, JD
Brendan G. Carr, MD, MA, MS
Lynne D. Richardson, MD
Jennifer L. Wiler, MD, MBA
Jeremiah D. Schuur, MD, MHS
Publication date: 01-10-2018
Publisher: Springer US
Published in: Journal of General Internal Medicine / Issue 10/2018
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-018-4525-4

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