Patient Population Loss At A Large Pioneer Accountable Care Organization And Implications For Refining The Program
| Autor: | Christine Vogeli, Mary Price, Namita Seth Mohta, Richard J. Brand, Sreekanth K. Chaguturu, Jenna Spirt, Michael E. Chernew, Timothy G. Ferris, John Hsu, Eric Weil |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Patients Population turnover Population Beneficiary Personnel Turnover 030204 cardiovascular system & hematology Annual Reports as Topic Medicare Article 03 medical and health sciences 0302 clinical medicine Nursing Payment models Medicine Humans 030212 general & internal medicine education education.field_of_study Accountable Care Organizations business.industry Health Policy Primary care physician United States Patient population Accountable care Health Care Reform Health Care Surveys Lower cost Female business Program Evaluation |
| Popis: | There is an ongoing move toward payment models that hold providers increasingly accountable for the care of their patients. The success of these new models depends in part on the stability of patient populations. We investigated the amount of population turnover in a large Medicare Pioneer accountable care organization (ACO) in the period 2012-14. We found that substantial numbers of beneficiaries became part of or left the ACO population during that period. For example, nearly one-third of beneficiaries who entered in 2012 left before 2014. Some of this turnover reflected that of ACO physicians-that is, beneficiaries whose physicians left the ACO were more likely to leave than those whose physicians remained. Some of the turnover also reflected changes in care delivery. For example, beneficiaries who were active in a care management program were less likely to leave the ACO than similar beneficiaries who had not yet started such a program. We recommend policy changes to increase the stability of ACO beneficiary populations, such as permitting lower cost sharing for care received within an ACO and requiring all beneficiaries to identify their primary care physician before being linked to an ACO. |
| Databáze: | OpenAIRE |
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