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Healthcare Innovation, September 10, 2024
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Skilled Nursing News, August 26, 2024
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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 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. |
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NEJM Interview: Dr. Eric Stecker on Oregon's experiment with accountable care organizations Dr. Eric Stecker is an Assistant Professor of Medicine at Oregon Health and Science University. Stephen Morrissey, the interviewer, is the Managing Editor of the New England Journal of Medicine. |
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