Are Networks Key to Solving America’s Healthcare Crisis?, Examining the Performance of Medicare Accountable Care Organizations (ACOs)
Loading...
View/Download File
Persistent link to this item
Statistics
View StatisticsJournal Title
Journal ISSN
Volume Title
Title
Are Networks Key to Solving America’s Healthcare Crisis?, Examining the Performance of Medicare Accountable Care Organizations (ACOs)
Published Date
2018
Publisher
Type
Presentation
Abstract
Medicare Accountable Care Organizations (ACOs) were formed through provisions of the Affordable Care Act (2010) and are designed to reduce healthcare spending while improving care quality. Each ACO is a voluntary group of healthcare providers (e.g., physicians, hospitals, clinics) that agree to coordinate care for a group of patients. To better understand heterogeneity in ACO performance, we use network analysis to conceptualize ACOs are collaborative networks of organizations. Using patient-sharing data from more than 70 million pairs of physicians, we construct interorganizational networks for 250 ACOs from 2012 to 2015. We find that, generally, network disconnectedness--absence of connections between subgroups of connected ACO members--is associated with worse ACO performance. However, we also find that this association is moderated by the strength of network ties and the presence of teaching hospitals. In conclusion, our results suggest that while fragmentation among providers is, as expected, correlated with worse group-level performance, there may be various paths to healthcare improvement based on the idiosyncrasies of each ACO.
Keywords
Description
Presented at the April 2018 Grand Challenge Research Expo
Related to
Replaces
License
Collections
Series/Report Number
Funding information
Isbn identifier
Doi identifier
Previously Published Citation
Suggested citation
Kim, K. Dennie; Funk, Russell; Daniels, Bobbi; Zaheer, Aks. (2018). Are Networks Key to Solving America’s Healthcare Crisis?, Examining the Performance of Medicare Accountable Care Organizations (ACOs). Retrieved from the University Digital Conservancy, https://hdl.handle.net/11299/197218.
Content distributed via the University Digital Conservancy may be subject to additional license and use restrictions applied by the depositor. By using these files, users agree to the Terms of Use. Materials in the UDC may contain content that is disturbing and/or harmful. For more information, please see our statement on harmful content in digital repositories.