References
- Amelung V, Stein V, Goodwin N, Balicer R, Nolte E, Suter E.
Handbook Integrated Care . Amelung V, Stein V, Goodwin N, Balicer R, Nolte E, Suter E (eds.), Handbook Integrated Care. Cham: Springer International Publishing 2017; 1–595 DOI: 10.1007/978-3-319-56103-5 - Raus K, Mortier E, Eeckloo K. Organizing Health Care Networks: Balancing Markets, Government and Civil Society. International Journal of Integrated Care. 2018 Jul 11; 18(3): 1–7. DOI: 10.5334/ijic.3960
- Sheaff R, Benson L, Farbus L, Schofield J, Mannion R, Reeves D. Network resilience in the face of health system reform. Social Science & Medicine. 2010 Mar; 70(5): 779–86. DOI: 10.1016/j.socscimed.2009.11.011
- Miller RH. Health System Integration: A Means to an End. Health Affairs. 1996 Jan; 15(2): 92–106. DOI: 10.1377/hlthaff.15.2.92
- Sheaff R, Schofield J.
Inter-Organizational Networks in Health Care . Ferlie E, Montgomery K, Reff Pedersen A (eds.), Vol. 1. Oxford University Press. 2016; 1–27. DOI: 10.1093/oxfordhb/9780198705109.013.29 - WHO. The world health report: health systems financing: the path to universal coverage; 2010.
- Miller HD. From Volume To Value: Better Ways To Pay For Health Care. Health Affairs. 2009 Sep; 28(5): 1418–28. DOI: 10.1377/hlthaff.28.5.1418
- Cattel D, Eijkenaar F. Value-Based Provider Payment Initiatives Combining Global Payments With Explicit Quality Incentives: A Systematic Review. Medical Care Research and Review. 2019 Jun 19;107755871985677. DOI: 10.1177/1077558719856775
- Ginsburg PB, Grossman JM. When the price isn’t right: how inadvertent payment incentives drive medical care. Health Affairs. 2005; Suppl Web(August): 376–84. DOI: 10.1377/hlthaff.W5.376
- Stokes J, Struckmann V, Kristensen SR, Fuchs S, van Ginneken E, Tsiachristas A, et al. Towards incentivising integration: A typology of payments for integrated care. Health Policy. 2018 Sep; 122(9): 963–9. DOI: 10.1016/j.healthpol.2018.07.003
- Conrad DA, Perry L. Quality-Based Financial Incentives in Health Care: Can We Improve Quality by Paying for It? Annual Review of Public Health. 2009 Apr; 30(1): 357–71. DOI: 10.1146/annurev.publhealth.031308.100243
- Hubley SH, Miller BF. Implications of Healthcare Payment Reform for Clinical Psychologists in Medical Settings. Journal of Clinical Psychology in Medical Settings. 2016 Mar 26; 23(1): 3–10. DOI: 10.1007/s10880-016-9451-1
- Barnum H, Kutzin J, Saxenian H. Incentives and provider payment methods. International Journal of Health Planning and Management. 1995 Jan; 10(1): 23–45. DOI: 10.1016/B978-012373960-5.00173-8
- Vlaanderen FP, Tanke MA, Bloem BR, Faber MJ, Eijkenaar F, Schut FT, et al. Design and effects of outcome-based payment models in healthcare: a systematic review. The European Journal of Health Economics. 2019 Mar 5; 20(2): 217–32. DOI: 10.1007/s10198-018-0989-8
- Kaufman BG, Spivack BS, Stearns SC, Song PH, O’Brien EC. Impact of Accountable Care Organizations on Utilization, Care, and Outcomes: A Systematic Review. Medical Care Research and Review. 2019 Jun 12; 76(3): 255–90. DOI: 10.1177/1077558717745916
- Provan KG, Kenis P. Modes of Network Governance: Structure, Management, and Effectiveness. Journal of Public Administration Research and Theory. 2007 Jun 29; 18(2): 229–52. DOI: 10.1093/jopart/mum015
- Tsiachristas A. Payment models for integrated care. 18th International Conference on Integrated Care. Utrecht, The Netherlands; 2018.
- Quinn K. The 8 Basic Payment Methods in Health Care. Annals of Internal Medicine. 2015 Aug 18; 163(4): 300. DOI: 10.7326/M14-2784
- Quinn K. Achieving cost control, care coordination, and quality improvement in the medicaid program. Journal of Ambulatory Care Management. 2010; 33(1): 38–49. DOI: 10.1097/jac.0b013e3181cfc12a
- Frakt AB, Mayes R. Beyond Capitation: How New Payment Experiments Seek To Find The ‘Sweet Spot’ In Amount Of Risk Providers And Payers Bear. Health Affairs. 2012 Sep; 31(9): 1951–8. DOI: 10.1377/hlthaff.2012.0344
- Conrad DA. The Theory of Value-Based Payment Incentives and Their Application to Health Care. Health Services Research. 2015 Dec; 50: 2057–89. DOI: 10.1111/1475-6773.12408
- Burns LR, Pauly MV. Transformation of the Health Care Industry: Curb Your Enthusiasm? The Milbank Quarterly. 2018 Mar; 96(1): 57–109. DOI: 10.1111/1468-0009.12312
- Kahneman D, Tversky A. Prospect Theory: An Analysis of Decision under Risk. Econometrica. 1979 Mar; 47(2): 263. DOI: 10.2307/1914185
- Nembhard IM, Tucker AL. Applying Organizational Learning Research to Accountable Care Organizations. Medical Care Research and Review. 2016; 73(6): 673–84. DOI: 10.1177/1077558716640415
- Newhouse JP.
Risk Adjustment, Market Equilibrium, and Carveouts . In: Pricing the Priceless. The MIT Press; 2002. Available from:https://direct.mit.edu/books/book/2692/chapter/72797/risk-adjustment-market-equilibrium-and-carveouts . - Eijkenaar F. Key issues in the design of pay for performance programs. European Journal of Health Economics. 2013; 14(1): 117–31. DOI: 10.1007/s10198-011-0347-6
- Gaynor M, Rebitzer JB, Taylor LJ. Physician Incentives in Health Maintenance Organizations. Journal of Political Economy. 2004 Aug; 112(4): 915–31. DOI: 10.1086/421172
- Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. International Journal of Integrated Care. 2013 Mar 22; 13(1). DOI: 10.5334/ijic.886
- Rischatsch M. Who joins the network? Physicians’ resistance to take budgetary co-responsibility. Journal of Health Economics. 2015 Mar; 40: 109–21. DOI: 10.1016/j.jhealeco.2014.12.002
- Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implementation Science. 2010 Dec 20; 5(1): 69. DOI: 10.1186/1748-5908-5-69
- Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. International Journal of Evidence-Based Healthcare. 2015 Sep; 13(3): 141–6. DOI: 10.1097/xeb.0000000000000050
- Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine. 2018 Oct 2; 169(7): 467. DOI: 10.7326/M18-0850
- Arksey H, O’Malley L. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. 2005 Feb; 8(1): 19–32. DOI: 10.1080/1364557032000119616
- Minkman M, Ahaus K, Huijsman R. Performance improvement based on integrated quality management models: what evidence do we have? A systematic literature review. International Journal for Quality in Health Care. 2007 Apr 1; 19(2): 90–104. DOI: 10.1093/intqhc/mzl071
- Bramer WM.
Serving Evidence Syntheses: Improving literature retrieval in systematic reviews . Erasmus University Rotterdam; 2019. Available from:https://repub.eur.nl/pub/120107 . - OECD. Public Health Reviews [Internet]. [cited 2021 December 23] Available from:
https://www.oecd.org/health/public-health-reviews.htm . - Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Medicine. 2009 Jul 21; 6(7): e1000097. DOI: 10.1371/journal.pmed.1000097
- Clarivate Analytics. EndNote X9 Quick Reference Guide for Mac. 2018.
- Agarwal R, Liao JM, Gupta A, Navathe AS. The Impact Of Bundled Payment On Health Care Spending, Utilization, And Quality: A Systematic Review. Health Affairs. 2020 Jan 1; 39(1): 50–7. DOI: 10.1377/hlthaff.2019.00784
- Fraze TK, Lewis VA, Tierney E, Colla CH. Quality of Care Improves for Patients with Diabetes in Medicare Shared Savings Accountable Care Organizations: Organizational Characteristics Associated with Performance. Population Health Management. 2018 Oct; 21(5): 401–8. DOI: 10.1089/pop.2017.0102
- Narayan AK, Harvey SC, Durand DJ. Impact of medicare shared savings program accountable care organizations at screening mammography: A retrospective cohort study. Radiology. 2017; 282(2): 437–42. DOI: 10.1148/radiol.2016160554
- Schlenker RE, Shaughnessy PW, Hittle DF. Patient-level cost of home health care under capitated and fee-for-service payment. Inquiry. 1995; 32(3): 252–70.
- Robinson JC, Casalino LP. The Growth of Medical Groups Paid through Capitation in California. New England Journal of Medicine. 1995; 333(25): 1684–7. DOI: 10.1056/NEJM199512213332506
- Marton J, Yelowitz A, Talbert JC. A tale of two cities? The heterogeneous impact of medicaid managed care. Journal of Health Economics. 2014 Jul; 36(1): 47–68. DOI: 10.1016/j.jhealeco.2014.03.001
- Mandal AK, Tagomori GK, Felix R V., Howell SC. Value-based contracting innovated Medicare advantage healthcare delivery and improved survival. American Journal of Managed Care. 2017 Feb 1; 23(2): e41–9.
- Mohnen S, Baan C, Struijs J. Bundled Payments for Diabetes Care and Healthcare Costs Growth: A 2-Year Follow-up Study. American Journal of Accountable Care. 2015; 63–70.
- Busse R, Stahl J. Integrated Care Experiences And Outcomes In Germany, The Netherlands, And England. Health Affairs. 2014 Sep; 33(9): 1549–58. DOI: 10.1377/hlthaff.2014.0419
- de Bakker DH, Struijs JN, Baan CA, Raams J, de Wildt J-E, Vrijhoef HJM, et al. Early Results From Adoption Of Bundled Payment For Diabetes Care In The Netherlands Show Improvement In Care Coordination. Health Affairs. 2012 Feb; 31(2): 426–33. DOI: 10.1377/hlthaff.2011.0912
- Karimi M, Tsiachristas A, Looman W, Stokes J, Galen M van, Rutten-van Mölken M. Bundled payments for chronic diseases increased health care expenditure in the Netherlands, especially for multimorbid patients. Health Policy. 2021; 125(6): 751–9. DOI: 10.1016/j.healthpol.2021.04.004
- Navathe AS, Liao JM, Wang E, Isidro U, Zhu J, Cousins DS, et al. Association of Patient Outcomes With Bundled Payments Among Hospitalized Patients Attributed to Accountable Care Organizations. JAMA Health Forum. 2021; 2(8): e212131. DOI: 10.1001/jamahealthforum.2021.2131
- Levin-Scherz J, DeVita N, Timbie J. Impact of pay-for-performance contracts and network registry on diabetes and asthma HEDIS® measures in an integrated delivery network. Medical Care Research and Review. 2006; 63(1 SUPPL.): 14–28. DOI: 10.1177/1077558705284057
- Mandel KE, Kotagal UR. Pay for performance alone cannot drive quality. Archives of Pediatrics and Adolescent Medicine. 2007; 161(7): 650–5. DOI: 10.1001/archpedi.161.7.650
- Atkinson GJ, Masiulis KE, Felgner L, Schumacher DN. Provider-Initiated Pay-for-Performance in a Clinically Integrated Hospital Network. Journal For Healthcare Quality. 2010 Jan; 32(1): 42–50. DOI: 10.1111/j.1945-1474.2009.00063.x
- Rieckmann T, Renfro S, McCarty D, Baker R, McConnell KJ. Quality Metrics and Systems Transformation: Are We Advancing Alcohol and Drug Screening in Primary Care? Health Services Research. 2018 Jun; 53(3): 1702–26. DOI: 10.1111/1475-6773.12716
- Hibbard JH, Greene J, Sacks R, Overton V. Does compensating primary care providers to produce higher quality make them more or less patient centric? Medical Care Research and Review. 2015; 72(4): 481–95. DOI: 10.1177/1077558715586291
- Gleeson S, Kelleher K, Gardner W. Evaluating a Pay-for-Performance Program for Medicaid Children in an Accountable Care Organization. JAMA Pediatrics. 2016 Mar 1; 170(3): 259. DOI: 10.1001/jamapediatrics.2015.3809
- Ganguli I, Lupo C, Mainor AJ, Orav EJ, Blanchfield BB, Lewis VA, et al. Association between specialist compensation and Accountable Care Organization performance. Health Services Research. 2020 Oct 27; 55(5): 722–8. DOI: 10.1111/1475-6773.13323
- Sandberg SF, Erikson C, Owen R, Vickery KD, Shimotsu ST, Linzer M, et al. Hennepin health: A safety-net accountable care organization for the expanded medicaid population. Health Affairs. 2014; 33(11): 1975–84. DOI: 10.1377/hlthaff.2014.0648
- Pope G, Kautter J, Leung M, Trisolini M, Adamache W, Smith K. Financial and quality impacts of the medicare Physician Group practice demonstration. Medicare and Medicaid Research Review. 2014; 4(3). DOI: 10.5600/mmrr.004.03.a01
- Rutledge RI, Romaire MA, Hersey CL, Parish WJ, Kissam SM, Lloyd JT. Medicaid Accountable Care Organizations in Four States: Implementation and Early Impacts. Milbank Quarterly. 2019; 97(2): 583–619. DOI: 10.1111/1468-0009.12386
- Borza T, Oerline MK, Skolarus TA, Norton EC, Dimick JB, Jacobs BL, et al. Association between Hospital Participation in Medicare Shared Savings Program Accountable Care Organizations and Readmission Following Major Surgery. Annals of Surgery. 2019; 269(5): 873–8. DOI: 10.1097/SLA.0000000000002737
- Winblad U, Mor V, McHugh JP, Rahman M. ACO-Affiliated Hospitals Reduced Rehospitalizations From Skilled Nursing Facilities Faster Than Other Hospitals. Health Affairs. 2017 Jan; 36(1): 67–73. DOI: 10.1377/hlthaff.2016.0759
- Kaufman BG, O’Brien EC, Stearns SC, Matsouaka R, Holmes GM, Weinberger M, et al. The Medicare Shared Savings Program and Outcomes for Ischemic Stroke Patients: a Retrospective Cohort Study. Journal of General Internal Medicine. 2019; 34(12): 2740–8. DOI: 10.1007/s11606-019-05283-1
- Bain AM, Werner RM, Yuan Y, Navathe AS. Do hospitals participating in accountable care organizations discharge patients to higher quality nursing homes? Journal of Hospital Medicine. 2019; 14(5): 288–9. DOI: 10.12788/jhm.3147
- Kim Y, Thirukumaran CP, Li Y. Greater reductions in readmission rates achieved by urban hospitals participating in the medicare shared savings program. Medical Care. 2018; 56(8): 686–92. DOI: 10.1097/mlr.0000000000000945
- Busch AB, Huskamp HA, McWilliams JM. Early efforts by medicare accountable care organizations have limited effect on mental illness care and management. Health Affairs. 2016; 35(7): 1247–56. DOI: 10.1377/hlthaff.2015.1669
- McWilliams JM, Chernew ME, Landon BE, Schwartz AL. Performance Differences in Year 1 of Pioneer Accountable Care Organizations. New England Journal of Medicine. 2015; 372(20): 1927–36. DOI: 10.1056/NEJMsa1414929
- McWilliams JM, Hatfield LA, Chernew ME, Landon BE, Schwartz AL. Early Performance of Accountable Care Organizations in Medicare. New England Journal of Medicine. 2016; 374(24): 2357–66. DOI: 10.1056/NEJMsa1600142
- Duggal R, Zhang Y, Diana ML. The Association Between Hospital ACO Participation and Readmission Rates. Journal of Healthcare Management. 2018 Sep; 63(5): e100–14. DOI: 10.1097/JHM-D-16-00045
- Herrel LA, Norton EC, Hawken SR, Ye Z, Hollenbeck BK, Miller DC. Early impact of Medicare accountable care organizations on cancer surgery outcomes. Cancer. 2016 Sep 1; 122(17): 2739–46. DOI: 10.1002/cncr.30111
- Markovitz AA, Hollingsworth JM, Ayanian JZ, Norton EC, Yan PL, Ryan AM. Performance in the Medicare Shared Savings Program After Accounting for Nonrandom Exit. Annals of Internal Medicine. 2019 Jul 2; 171(1): 27. DOI: 10.7326/M18-2539
- Nyweide DJ, Lee W, Cuerdon TT, Pham HH, Cox M, Rajkumar R, et al. Association of Pioneer Accountable Care Organizations vs traditional Medicare fee for service with spending, utilization, and patient experience. JAMA. 2015; 313(21): 2152–61. DOI: 10.1001/jama.2015.4930
- Colla CH, Lewis VA, J. Gottlieb D, Fisher ES. Cancer spending and accountable care organizations: Evidence from the physician group practice demonstration. Healthcare. 2013; 1(3–4): 100–7. DOI: 10.1016/j.hjdsi.2013.05.005
- Marrufo G, Colligan EM, Negrusa B, Ullman D, Messana J, Shah A, et al. Association of the Comprehensive End-Stage Renal Disease Care Model With Medicare Payments and Quality of Care for Beneficiaries With End-Stage Renal Disease. JAMA Internal Medicine. 2020 Jun 1; 180(6): 852. DOI: 10.1001/jamainternmed.2020.0562
- Zhang H, Cowling DW, Graham JM, Taylor E. Five-year Impact of a Commercial Accountable Care Organization on Health Care Spending, Utilization, and Quality of Care. Medical Care. 2019 Nov; 57(11): 845–54. DOI: 10.1097/MLR.0000000000001179
- Borza T, Kaufman SR, Yan P, Herrel LA, Luckenbaugh AN, Miller DC, et al. Early effect of Medicare Shared Savings Program accountable care organization participation on prostate cancer care. Cancer. 2018 Feb 1; 124(3): 563–70. DOI: 10.1002/cncr.31081
- Cole AP, Krasnova A, Ramaswamy A, Friedlander DF, Fletcher SA, Sun M, et al. Prostate cancer in the medicare shared savings program: are Accountable Care Organizations associated with reduced expenditures for men with prostate cancer? Prostate Cancer and Prostatic Diseases. 2019; 22(4): 593–9. DOI: 10.1038/s41391-019-0138-1
- Colla CH, Lewis VA, Kao L-S, O’Malley AJ, Chang C-H, Fisher ES. Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries. JAMA Internal Medicine. 2016 Aug 1; 176(8): 1167. DOI: 10.1001/jamainternmed.2016.2827
- Lam MB, Figueroa JF, Zheng J, Orav EJ, Jha AK. Spending among patients with cancer in the first 2 years of accountable care organization participation. Journal of Clinical Oncology. 2018; 36(29): 2955–60. DOI: 10.1200/jco.18.00270
- McWilliams JM, Gilstrap LG, Stevenson DG, Chernew ME, Huskamp HA, Grabowski DC. Changes in postacute care in the medicare shared savings program. JAMA Internal Medicine. 2017; 177(4): 518–26. DOI: 10.1001/jamainternmed.2016.9115
- McWilliams JM, Hatfield LA, Landon BE, Hamed P, Chernew ME. Medicare Spending after 3 Years of the Medicare Shared Savings Program. New England Journal of Medicine. 2018; 379(12): 1139–49. DOI: 10.1056/nejmsa1803388
- Schwartz AL, Chernew ME, Landon BE, Michael McWilliams J. Changes in low-value services in year 1 of the medicare pioneer accountable care organization program. JAMA Internal Medicine. 2015; 175(11): 1815–25. DOI: 10.1001/jamainternmed.2015.4525
- Zhang Y, Caines KJ, Powers CA. Evaluating the effects of pioneer accountable care organizations on medicare part D drug spending and utilization. Medical Care. 2017; 55(5): 470–5. DOI: 10.1097/mlr.0000000000000686
- Lam MB, Zheng J, Orav EJ, Jha AK. Early Accountable Care Organization Results in End-of-Life Spending Among Cancer Patients. JNCI: Journal of the National Cancer Institute. 2019 Dec 1; 111(12): 1307–13. DOI: 10.1093/jnci/djz033
- Bakre S, Hollingsworth JM, Yan PL, Lawton EJ, Hirth RA, Shahinian VB. Accountable Care Organizations and Spending for Patients Undergoing Long-Term Dialysis. Clinical Journal of the American Society of Nephrology. 2020 Dec 7; 15(12): 1777–84. DOI: 10.2215/CJN.02150220
- Chang C-H, Mainor A, Colla C, Bynum J. Utilization by Long-Term Nursing Home Residents Under Accountable Care Organizations. Journal of the American Medical Directors Association. 2021 Feb; 22(2): 406–12. DOI: 10.1016/j.jamda.2020.05.055
- Erfani P, Phelan J, Orav EJ, Figueroa JF, Jha AK, Lam MB. Spending outcomes among patients with cancer in accountable care organizations 4 years after implementation. Cancer. 2021 Nov 12; 1–8. DOI: 10.1002/cncr.34022
- Zhang H, Cowling DW, Graham JM, Taylor E. Impact of a commercial accountable care organization on prescription drugs. Health Services Research. 2021 Aug 28; 56(4): 592–603. DOI: 10.1111/1475-6773.13626
- McWilliams JM, Hatfield LA, Landon BE, Chernew ME. Savings or Selection? Initial Spending Reductions in the Medicare Shared Savings Program and Considerations for Reform. The Milbank Quarterly. 2020 Sep 22; 98(3): 847–907. DOI: 10.1111/1468-0009.12468
- Kim H, Keating NL, Perloff JN, Hodgkin D, Liu X, Bishop CE. Aggressive Care near the End of Life for Cancer Patients in Medicare Accountable Care Organizations. Journal of the American Geriatrics Society. 2019; 67(5): 961–8. DOI: 10.1111/jgs.15914
- Colla CH, Goodney PP, Lewis VA, Nallamothu BK, Gottlieb DJ, Meara E. Implementation of a Pilot Accountable Care Organization Payment Model and the Use of Discretionary and Nondiscretionary Cardiovascular Care. Circulation. 2014 Nov 25; 130(22): 1954–61. DOI: 10.1161/CIRCULATIONAHA.114.011470
- Trinh QD, Sun M, Krasnova A, Ramaswamy A, Cole AP, Fletcher SA, et al. Impact of Accountable Care Organizations on Prostate Cancer Screening and Biopsies in the United States. Urology Practice. 2019; 6(3): 159–64. DOI: 10.1016/j.urpr.2018.07.003
- Resnick MJ, Graves AJ, Gambrel RJ, Thapa S, Buntin MB, Penson DF. The association between Medicare accountable care organization enrollment and breast, colorectal, and prostate cancer screening. Cancer. 2018; 124(22): 4366–73. DOI: 10.1002/cncr.31700
- Modi PK, Kaufman SR, Borza T, Oliphant BW, Ryan AM, Miller DC, et al. Medicare Accountable Care Organizations and Use of Potentially Low-Value Procedures. Surgical Innovation. 2019; 26(2): 227–33. DOI: 10.1177/1553350618816594
- Resnick MJ, Graves AJ, Thapa S, Gambrel R, Tyson MD, Lee D, et al. Medicare accountable care organization enrollment and appropriateness of cancer screening. JAMA Internal Medicine. 2018; 178(5): 648–54. DOI: 10.1001/jamainternmed.2017.8087
- Barnett ML, McWilliams JM. Changes in specialty care use and leakage in medicare accountable care organizations. American Journal of Managed Care. 2018; 24(5): e141–9.
- McWilliams JM, Najafzadeh M, Shrank WH, Polinski JM. Association of changes in medication use and adherence with accountable care organization exposure in patients with cardiovascular disease or diabetes. JAMA Cardiology. 2017; 2(9): 1019–23. DOI: 10.1001/jamacardio.2017.2172
- Lin Y-L, Ortiz J, Boor C. ACOsʼ Impact on Hospitalization Rates of Rural Older Adults With Diabetes. Family & Community Health. 2018; 41(4): 265–73. DOI: 10.1097/FCH.0000000000000204
- Modi PK, Kaufman SR, Caram ME, Ryan AM, Shahinian VB, Hollenbeck BK. Medicare Accountable Care Organizations and the Adoption of New Surgical Technology. Journal of the American College of Surgeons. 2021 Feb; 232(2): 138–145.e2. DOI: 10.1016/j.jamcollsurg.2020.10.016
- Acevedo A, Mullin BO, Progovac AM, Caputi TL, McWilliams JM, Cook BL. Impact of the Medicare Shared Savings Program on utilization of mental health and substance use services by eligibility and race/ethnicity. Health Services Research. 2021 Aug 5; 56(4): 581–91. DOI: 10.1111/1475-6773.13625
- Diana ML, Zhang Y, Yeager VA, Stoecker C, Counts CR. The impact of accountable care organization participation on hospital patient experience. Health Care Management Review. 2019; 44(2): 148–58. DOI: 10.1097/hmr.0000000000000219
- Lee JT, Polsky D, Fitzsimmons R, Werner RM. Proportion of Racial Minority Patients and Patients With Low Socioeconomic Status Cared for by Physician Groups After Joining Accountable Care Organizations. JAMA Network Open. 2020 May 8; 3(5): e204439. DOI: 10.1001/jamanetworkopen.2020.4439
- Stuart EA, Barry CL, Donohue JM, Greenfield SF, Duckworth K, Song Z, et al. Effects of accountable care and payment reform on substance use disorder treatment: evidence from the initial 3 years of the alternative quality contract. Addiction. 2017 Jan; 112(1): 124–33. DOI: 10.1111/add.13555
- Huskamp HA, Greenfield SF, Stuart EA, Donohue JM, Duckworth K, Kouri EM, et al. Effects of Global Payment and Accountable Care on Tobacco Cessation Service Use: An Observational Study. Journal of General Internal Medicine. 2016 Oct 13; 31(10): 1134–40. DOI: 10.1007/s11606-016-3718-y
- Hildebrandt H, Schulte T, Stunder B. Triple aim in Kinzigtal, Germany: Improving population health, integrating health care and reducing costs of care - Lessons for the UK? Journal of Integrated Care. 2012; 20(4): 205–22. DOI: 10.1108/14769011211255249
- McWilliams JM, Landon BE, Chernew ME. Changes in Health Care Spending and Quality for Medicare Beneficiaries Associated With a Commercial ACO Contract. JAMA. 2013 Aug 28; 310(8): 829. DOI: 10.1001/jama.2013.276302
- Song Z, Safran DG, Landon BE, He Y, Ellis RP, Mechanic RE, et al. Health Care Spending and Quality in Year 1 of the Alternative Quality Contract. New England Journal of Medicine. 2011 Sep 8; 365(10): 909–18. DOI: 10.1056/NEJMsa1101416
- Song Z, Safran DG, Landon B, Landrum MB, He Y, Mechanic R, et al. The ‘Alternative quality contract’ in Massachusetts, based on global budgets, lowered medical spending and improved quality. Health Affairs. 2012; 31(8): 1885–94. DOI: 10.1377/hlthaff.2012.0327
- Song Z, Rose S, Safran DG, Landon BE, Day MP, Chernew ME. Changes in Health Care Spending and Quality 4 Years into Global Payment. New England Journal of Medicine. 2014; 371(18): 1704–14. DOI: 10.1056/NEJMsa1404026
- Chien AT, Song Z, Chernew ME, Landon BE, McNeil BJ, Safran DG, et al. Two-Year Impact of the Alternative Quality Contract on Pediatric Health Care Quality and Spending. Pediatrics. 2014 Jan 23;133(1):96–104. DOI: 10.1542/peds.2012-3440
- Pimperl A, Schulte T, Mühlbacher A, Rosenmöller M, Busse R, Groene O, et al. Evaluating the Impact of an Accountable Care Organization on Population Health: The Quasi-Experimental Design of the German Gesundes Kinzigtal. Population Health Management. 2017; 20(3): 239–48. DOI: 10.1089/pop.2016.0036
- Afendulis CC, Fendrick AM, Song Z, Landon BE, Safran DG, Mechanic RE, et al. The Impact of Global Budgets on Pharmaceutical Spending and Utilization. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 2014 Nov 25; 51(1): 004695801455871. DOI: 10.1177/0046958014558716
- Donohue JM, Barry CL, Stuart EA, Greenfield SF, Song Z, Chernew ME, et al. Effects of Global Payment and Accountable Care on Medication Treatment for Alcohol and Opioid Use Disorders. Journal of Addiction Medicine. 2018; 12(1): 11–8. DOI: 10.1097/ADM.0000000000000368
- Blewett LA, Spencer D, Huckfeldt P. Minnesota integrated health partnership demonstration: Implementation of a Medicaid ACO model. Journal of Health Politics, Policy and Law. 2017; 42(6): 1127–42. DOI: 10.1215/03616878-4193666
- Afendulis CC, Hatfield LA, Landon BE, Gruber J, Landrum MB, Mechanic RE, et al. Early Impact Of CareFirst’s Patient-Centered Medical Home With Strong Financial Incentives. Health Affairs. 2017 Mar; 36(3): 468–75. DOI: 10.1377/hlthaff.2016.1321
- Bazzoli GJ. Hospital risk-based payments and physician employment: Impact on financial performance. Health Care Management Review. 2021; 46(1): 86–95. DOI: 10.1097/hmr.0000000000000245
- Lesser CS, Ginsburg PB, Devers KJ. The End of an Era: What Became of the “Managed Care Revolution” in 2001? Health Services Research. 2003; 38(1p2): 337–55. DOI: 10.1111/1475-6773.00119
- Berwick DM. Payment by Capitation and the Quality of Care. New England Journal of Medicine. 1996 Oct 17; 335(16): 1227–31. DOI: 10.1056/NEJM199610173351611
- Eijkenaar F, Emmert M, Scheppach M, Schöffski O. Effects of pay for performance in health care: A systematic review of systematic reviews. Health Policy. 2013; 110(2–3): 115–30. DOI: 10.1016/j.healthpol.2013.01.008
- Mendelson A, Kondo K, Damberg C, Low A, Motuapuaka M, Freeman M, et al. The effects of pay-for-performance programs on health, health care use, and processes of care: A systematic review. Annals of Internal Medicine. 2017; 166(5): 341–53. DOI: 10.7326/m16-1881
- Wu FM, Shortell SM, Lewis VA, Colla CH, Fisher ES. Assessing Differences between Early and Later Adopters of Accountable Care Organizations Using Taxonomic Analysis. Health Services Research. 2016 Dec; 51(6): 2318–29. DOI: 10.1111/1475-6773.12473
- Shortell SM, Wu FM, Lewis VA, Colla CH, Fisher ES. A taxonomy of accountable care organizations for policy and practice. Health Services Research. 2014; 49(6): 1883–99. DOI: 10.1111/1475-6773.12234
- Blackstone EA, Fuhr JP. The Economics of Medicare Accountable Care Organizations. American Health & Drug Benefits. 2016 Feb; 9(1): 11–9.
- Cattel D, Eijkenaar F, Schut FT. Value-based provider payment: towards a theoretically preferred design. Health Economics, Policy and Law. 2018 Sep 27; (2018): 1–19. DOI: 10.1017/S1744133118000397
- Steenhuis S, Struijs J, Koolman X, Ket J, Van Der Hijden E. Unraveling the Complexity in the Design and Implementation of Bundled Payments: A Scoping Review of Key Elements From a Payer’s Perspective. The Milbank Quarterly. 2020 Jan 7; 1468–0009.12438. DOI: 10.1111/1468-0009.12438
- Liao JM, Pauly MV, Navathe AS. When Should Medicare Mandate Participation In Alternative Payment Models? Health Affairs. 2020 Feb 1; 39(2): 305–9. DOI: 10.1377/hlthaff.2019.00570
- Wong G, Westhorp G, Manzano A, Greenhalgh J, Jagosh J, Greenhalgh T. RAMESES II reporting standards for realist evaluations. BMC Medicine. 2016; 14(1): 1–18. DOI: 10.1186/s12916-016-0643-1
- Looman W, Struckmann V, Köppen J, Baltaxe E, Czypionka T, Huic M, et al. Drivers of successful implementation of integrated care for multi-morbidity: Mechanisms identified in 17 case studies from 8 European countries. Social Science & Medicine. 2021 May; 277(February): 113728. DOI: 10.1016/j.socscimed.2021.113728