AJMC: 8 Per-Beneficiary Rates for MSSP ACOs With a Teaching Hospital versus Those Without

  1. Beneficiaries at MTH ACOs had 1.5% lower spending overall than at NTH ACOs.
  2. MTH ACOs had 9.7% lower per-beneficiary annual spending in the acute care inpatient setting than NTH ACOs.
  3. MTH ACOs had 3.7% higher per-beneficiary annual spending in the outpatient setting than NTH ACOs.
  4. MTH ACOs had lower emergency department utilization in both visits resulting in an admission (–7.8%) and those that remained in outpatient settings (–4.3%) than NTH ACOs.
  5. MTH ACO beneficiaries' primary care visit rates were 14.6% lower than at NTH ACOs.
  6. MTH ACO beneficiaries' specialist visit rates were 12.2% higher than at NTH ACOs.
  7. Beneficiaries covered by MTH ACOs and receiving hospital care were 77% more likely to receive care from a hospital within the ACO.
  8. MTH ACOs had lower mortality rates than NTH ACOs by up to 2.2 percentage points depending on the patient age group.
Notes: MTH ACO: major teaching hospital ACO; NTH ACO: non-teaching hospital ACO. From a study based on commercial claims data for MSSP ACOs from 2019 to 2021.

Source: "What Value Do Teaching Hospitals Provide Commercial Beneficiaries When in an ACO?" The American Journal of Managed Care, September 16, 2024 - https://www.ajmc.com/view/what-value-do-teaching-hospitals-provide-commercial-b…

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