Rural hospital participation in Medicare accountable care organizations
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Rural policy brief
- Author(s):
- Zhu, Xi, author Ullrich, Fred, author Huang, Huang, author Mueller, Keith J., author
- Contributor(s):
- RUPRI Center for Rural Health Policy Analysis, issuing body. Rural Health Research & Policy Centers, issuing body. Rural Policy Research Institute (U.S.), issuing body.
- Publication:
- Iowa City, IA : Rural Policy Research Institute, April 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Accountable Care Organizations -- statistics & numerical data Hospitals, Rural -- statistics & numerical data United States
- Genre(s):
- Technical Report
- Abstract:
- Purpose. This policy brief summarizes national and regional rates of rural hospital participation in Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs) and identifies factors associated with ACO participation. Hospital participation in ACOs is a means of transitioning to alternative payment models. Identifying characteristics associated with participation will inform future policy development to address rural-specific barriers and challenges for participation. Key Findings. (1) In 2016, 743 hospitals participated in Medicare SSP ACOs. Metropolitan hospitals had a higher participation rate, 21 percent (492 out of 2,308 hospitals), than nonmetropolitan hospitals, 12 percent (251 out of 2,108 hospitals). (2) Among nonmetropolitan hospitals, those located in the Northeast census region, not-for-profit, Critical Access Hospitals (CAHs), or affiliated with health systems had higher Medicare SSP ACO participation rates. (3) Nonmetropolitan hospitals that had fully implemented electronic health record (EHR) systems or had medical home programs had higher Medicare SSP ACO participation rates than nonmetropolitan hospitals that had not established such capacities. (4) Nonmetropolitan hospitals that had previous risk experience such as health maintenance organization (HMO), preferred provider organization (PPO), or capitated or bundled payment contracts had higher Medicare SSP ACO participation rates than nonmetropolitan hospitals that did not have such experience.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (5 pages)).
- NLM Unique ID:
- 101771079 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101771079