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Study: Non-ACO hospitals sometimes do better than ACO ones


A  study in the American Journal of Managed Care indicates that hospitals that participate in an Accountable Care Organization don’t necessarily  perform better that non-ACO peers in all Medicare value-based programs.

Here are three key study findings, as summarized by Becker’s Hospital Review.

1. “Between 2013 and 2016, hospitals in ACOs performed better than non-ACO hospitals in CMS’s Hospital Readmissions Reduction Program by a factor of 0.72.

2. ”During the same period, non-ACO hospitals outperformed hospital ACOs in Hospital Value-Based Purchasing and Hospital-Acquired Condition Reduction programs by a statistical significance factor of 0.001. When researchers adjusted for specific hospital attributes, such as number of beds, ownership and teaching status, non-ACO hospitals fared better by a factor of 0.62 for the HVBP program and 0.28 for the HACR program.

3. ”’Despite similar goals, hospital participation in an ACO is not correlated with improved performance in all Medicare VBP programs,’ the study concluded.”

To read the American Journal of Managed Care study, please hit this link. To read the Becker’s summary, please this link.

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