Cited by 174Healthcare Policy and ManagementPrimary Care and Health OutcomesPatient Satisfaction in Healthcare

The DOI matches its Crossref record; 78 of the 78 references it cites were found in a registry or an index.

Impact of Accountable Care Organizations on Utilization, Care, and Outcomes: A Systematic Review

Kaufman, Brystana G., Spivack, B. Steven, Stearns, Sally C., Song, Paula H., O’Brien, Emily C.·2019·Medical Care Research and Review

Abstract

Since 2010, more than 900 accountable care organizations (ACOs) have formed payment contracts with public and private insurers in the United States; however, there has not been a systematic evaluation of the evidence studying impacts of ACOs on care and outcomes across payer types. This review evaluates the quality of evidence regarding the association of public and private ACOs with health service use, processes, and outcomes of care. The 42 articles identified studied ACO contracts with Medicare ( N = 24 articles), Medicaid ( N = 5), commercial ( N = 11), and all payers ( N = 2). The most consistent associations between ACO implementation and outcomes across payer types were reduced inpatient use, reduced emergency department visits, and improved measures of preventive care and chronic disease management. The seven studies evaluating patient experience or clinical outcomes of care showed no evidence that ACOs worsen outcomes of care; however, the impact on patient care and outcomes should continue to be monitored.

Overview

Integrity signals

Registry

Crossref · 10.1177/1077558717745916

Cites

78 of 78 references verified0 citation errors · 0 not checkable

Statistics

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Verification

Claims the paper makes

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Citations

Cites

1 retracted

Research works printed but not linked: 15

  1. Ackerman R., 2006, Evaluating statewide disease management programs
  2. Brennan A., 2016, ACOs at a crossroads: Costs, risk and MACRA
  3. Green L., 2016, Evaluation of CMMI Accountable Care Organizations Initiative
  4. Green L., 2016, Evaluation of CMMI Accountable Care Organization Initiatives
  5. Kautter J., 2012, Evaluation of the Medicare Physician Group Practice Demonstration: Final Report
  6. Lewis V. A., 2014, American Journal of Managed Care, 20, 1008
  7. Marcoux R. M., 2012, P & T Pharmacy and Therapeutics, 37, 629
  8. Muhlestein D., 2015, Projected growth of accountable care organizations
  9. Muhlestein D., 2016, American Journal of Managed Care, 22, e241
  10. 10.1377/hblog20140530.039242 · DOI
  11. Singh S., 2015, Journal of Medical Practice Management, 30, 261
  12. U.S. Government Accountability Office, 2015, Results from the first two years of the pioneer accountable care organization model
  13. Walker D. M., 2016, American Journal of Management Care, 22, 802
  14. Weil T. P., 2012, Journal of Medical Practice Management, 27, 263
  15. Zutshi A., 2013, The medical home: What do we know, what do we need to know? A review of the earliest evidence on the effectiveness of the patient-centered medical home model

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Metadata

Authors
Kaufman, B. G., Spivack, B. S., Stearns, S. C., Song, P. H., & O’Brien, E. C.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
  • Duke Clinical Research Institute, Durham, NC, USA
Corresponding author
Kaufman, Brystana G.
Venue
Medical Care Research and Review
Published
2017-12-12
Volume
76
Issue
3
Pages
255-290
ISSN
  • 1077-5587 (ISSN-L)
  • 1552-6801
OpenAlex
W2774554851
Cited by
174
References
78
Citations by year
2026: 12 · 2025: 24 · 2024: 27 · 2023: 22 · 2022: 29 · 2021: 17 · 2020: 22 · 2019: 16 · 2018: 5
FWCI
4.04
Type
journal article
Language
en
Open access
closed
Locations
  • Medical Care Research and Review (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health (TL1TR001110)
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
  • Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
Keywords
accountable care organizations, health care payment reform, Medicare, Medicaid, private insurance, health care utilization, emergency department visits, preventive medicine, chronic disease management, patient experience, clinical outcomes, quality of care
MeSH terms
Emergency Service, Hospital, Medicare, Hospitalization, Humans, Medicaid, Patient Acceptance of Health Care, Preventive Medicine, Quality of Health Care, United States, Outcome Assessment, Health Care, Disease Management, Accountable Care Organizations

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