Outpatient care patterns and organizational accountability in Medicare

JAMA Internal Medicine

Volumn 174, Issue 6, 2014, Pages 938-945

  McWilliams, J Michael ^a,b   Chernew, Michael E ^a   Dalton, Jesse B ^a   Landon, Bruce E ^a,c  

^a HARVARD MEDICAL SCHOOL   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

^c BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; ARTICLE; CONTROLLED STUDY; GENERAL PRACTITIONER; HEALTH CARE COST; HEALTH CARE ORGANIZATION; HEALTH CARE PERSONNEL; HUMAN; MEDICAL SPECIALIST; MEDICARE; OUTPATIENT CARE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL;

ACCOUNTABLE CARE ORGANIZATIONS; AMBULATORY CARE; HUMANS; MEDICARE; PRIMARY HEALTH CARE; UNITED STATES;

EID: 84902179511     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2014.1073     Document Type: Article

References (25)

1. Sinaiko AD, Rosenthal MB. Patients? role in accountable care organizations. N Engl J Med. 2010;363(27):2583-2585.
2. Pham HH, Schrag D, O?Malley AS,Wu B, Bach PB. Care patterns in Medicare and their implications for pay for performance. N Engl J Med. 2007;356(11):1130-1139. (Pubitemid 46425597)
3. Department of Health and Human Services; Centers for Medicare & Medicaid Services. Medicare program: Medicare Shared Savings Program: Accountable Care Organizations: final rule. http://www.gpo.gov/fdsys/pkg/FR- 2011-11-02/pdf/2011-27461.pdf. Accessed January 13, 2014.
4. Centers for Medicare & Medicaid Services. National Provider Identifier Registry. https://npiregistry.cms.hhs.gov/NPPESRegistry/ NPIRegistryHome.do. Accessed January 13, 2014.
5. Center for Medicare & Medicaid Services. Medicare Shared Savings Program: shared savings and losses and assignment methodology specifications. http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ sharedsavingsprogram/Downloads/Shared-Savings-Losses-Assignment-Spec-v2.pdf. Accessed January 13, 2014.
6. Centers for Medicare & Medicaid Services. Pioneer Accountable Care Organizations succeed in improving care, lowering costs. http://www.cms.gov/ Newsroom/MediaReleaseDatabase/Press-Releases/2013-Press-Releases-Items/ 2013-07-16 .html. Accessed January 13, 2014.
7. Centers for Medicare & Medicaid Services. More partnerships between doctors and hospitals strengthen coordinated care for Medicare beneficiaries. http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/ 2013-Press-Releases-Items/2013-12-23.html. Accessed January 13, 2014.
8. McWilliams JM, Chernew ME, Zaslavsky AM, Landon BE. Post-acute care and ACOs: who will be accountable? Health Serv Res. 2013;48(4):1526-1538.
9. McWilliams JM, Chernew ME, Zaslavsky AM, Hamed P, Landon BE. Delivery system integration and health care spending and quality for Medicare beneficiaries. JAMA Intern Med. 2013;173(15):1447-1456.
10. McWilliams JM, Landon BE, Chernew ME. Changes in health care spending and quality for Medicare beneficiaries associated with a commercial ACO contract. JAMA. 2013;310(8):829-836.
11. Song Z, Ayanian JZ,Wallace J, He Y, Gibson TB, Chernew ME. Unintended consequences of eliminating Medicare payments for consultations. JAMA Intern Med. 2013;173(1):15-21.
12. Centers for Medicare & Medicaid Services Chronic Condition DataWarehouse. https://www.ccwdata.org/index.htm. Accessed January 13, 2014.
13. Binder DA. On the variances of asymptotically normal estimators from complex surveys. Int Stat Rev. 1983;51:279-292.
14. Peikes D, Zutshi A, Genevro JL, Parchman ML, Meyers DS. Early evaluations of the medical home: building on a promising start. Am J Manag Care. 2012;18(2):105-116.
15. Rosenthal MB, FriedbergMW, Singer SJ, Eastman D, Li Z, Schneider EC. Effect of a multipayer patient-centered medical home on health care utilization and quality: the Rhode Island chronic care sustainability initiative pilot program. JAMA Intern Med. 2013;173(20):1907-1913.
16. Jackson GL, Powers BJ, Chaterjee R, et al. The patient-centered medical home: a systematic review. Ann Intern Med. 2013;158(3):169-178. http://annals.org/article.aspx?doi=10.7326/0003-4819-158-3-201302050- 00579&an-fo-ed.Accessed March 5, 2014.
17. Welch WP, Cuellar AE, Stearns SC, Bindman AB. Proportion of physicians in large group practices continued to grow in 2009-11. Health Aff (Millwood). 2013;32(9):1659-1666.
18. Lewis VA, McClurg AB, Smith J, Fisher ES, Bynum JP. Attributing patients to accountable care organizations: performance year approach aligns stakeholders? interests. Health Aff (Millwood). 2013;32(3):587-595.
19. Kaiser Health News. MedPAC contemplates link between ACOs and Medigap plans. http://www.kaiserhealthnews.org/Daily-Reports/2013/September/13/medpac- and-acos.aspx.
20. Center for Medicare & Medicaid Innovation. Pioneer Accountable Care Organization (ACO) model request for application. http://innovation.cms.gov/ Files/x/Pioneer-ACO-Model-Request-For-Applications-document.pdf. Accessed January 13, 2014.
21. Centers for Medicare & Medicaid Services. CMS names 88 new Medicare Shared Savings Accountable Care Organizations.http://www.cms.gov/apps/media/ press/factsheet.asp?Counter=4405&intNumPerPage=10&checkDate= &checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData= &keywordType=All&chkNewsType=6&intPage=&showAll=&pYear= &year=&desc=&cboOrder=date. Accessed January13, 2014.
22. Centers for Medicare & Medicaid Services. First Accountable Care Organizations under the Medicare Shared Savings Program.http://www.cms.gov/apps/ media/press/factsheet.asp?Counter=4334&intNumPerPage=10&checkDate= &checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData= &keywordType=All&chkNewsType=6&intPage=&showAll=&pYear= &year=&desc=false&cboOrder=date. Accessed January 13, 2014.
23. Centers for Medicare & Medicaid Services. More doctors, hospitals partner to coordinate care for people with Medicare. http://www.cms.gov/apps/ media/press/release.asp?Counter=4501&intNumPerPage=10&checkDate= &checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData= &keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage= &showAll=&pYear=&year=&desc=&cboOrder=date. Accessed January 13, 2014.
24. Bynum JP, Bernal-Delgado E, Gottlieb D, Fisher E. Assigning ambulatory patients and their physicians to hospitals: amethod for obtaining population-based provider performance measurements. Health Serv Res. 2007;42(1 Pt 1):45-62. (Pubitemid 46150943)
25. Fisher ES, Staiger DO, Bynum JP, Gottlieb DJ. Creating accountable care organizations: the extended hospital medical staff. Health Aff (Millwood). 2007;26(1):w44-w57.