Publications
Publications
- August 8, 2018
- NEJM Catalyst
Hospital-based ACOs Face Challenges in Tracking Performance Indicators
By: Christiana Beveridge, Sofia Warner, Greg Leya and Thomas W. Feeley
Abstract
Given that accountable care organizations (ACOs) have not achieved the degree of cost reductions and quality improvements initially hoped for, we sought to better understand the underlying reasons for their limited success. Our analysis of American Hospital Association (AHA) data on hospital-based ACOs found that many organizations do not have the capability to track and share performance metrics, including financial metrics, and those that do are more likely to have taken on more financial risk. Our findings highlight the challenges of using ACOs as a mechanism to achieve financial cost savings. Bundled payments, which focus on narrower episodes of care, may involve fewer operational complexities and be better structured for financial success.
Keywords
Citation
Beveridge, Christiana, Sofia Warner, Greg Leya, and Thomas W. Feeley. "Hospital-based ACOs Face Challenges in Tracking Performance Indicators." NEJM Catalyst (August 8, 2018).