Rural Health Resources by Topic: Accountable Care Organizations
Evaluation of the Vermont All-Payer Accountable Care Organization Model: First Evaluation Report
Evaluates the first two performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes information on hospital and provider participation in rural counties and unique challenges for rural Critical Access Hospitals.
Findings at a Glance, Technical Appendices
Date: 08/2021 Type: Document Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago view details
Adoption of Health System Innovations: Evidence of Urban-Rural Disparities from the Ohio Primary Care Marketplace
Examines the market penetration of Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), patient-centered medical homes (PCMHs), and the meaningful use of electronic health records (EHRs) among primary care providers (PCPs) in Ohio between 2011 and 2015. Compares the percentage of PCPs who are affiliated with ACOs, PCMHs, and meaningful use by urban and rural county status.
Author(s): Joseph E. Tanenbaum, Mark Votruba, Douglas Einstadter, Thomas E. Love, Randall D. Cebul Citation: Journal of General Internal Medicine, 36(6), 1584–1590 Date: 06/2021 Type: Document view details
Understanding Medicare ACO Adoption in the Context of Market Factors
Examines physician practice participation in Medicare accountable care organizations (ACOs) at the county level. Analyzes the association between ACO presence and 3 characteristics thought to influence ACO formation: physician market concentration, Medicare Advantage penetration, and commercial health insurance market concentration. Explores the differences in ACO adoption in urban and rural counties.
Author(s): Brandon W. Yan, Lok Wong Samson, Joel Ruhter, Rachael B. Zuckerman, Steven H. Sheingold Citation: Population Health Management, 24(3), 360-368 Date: 06/2021 Type: Document view details
Basics of Value-based Care and Payment
Slides presented to the Rural Healthcare Provider Transition Project (RHPTP) providing an overview of value-based care and payment models. Includes examples of rural providers addressing patient social needs, tackling local health issues, and aligning services with community needs.
Author(s): Jennifer P. Lundblad Date: 06/2021 Type: Presentation Slides Sponsoring organization: Rural Health Value view details
Strengthening Primary Care and Improving Population Health: Nebraska's Approach
Explores efforts to strengthen primary care in Nebraska through Patient-Centered Medical Homes, Accountable Care Organizations (ACOs), and the Comprehensive Primary Care Plus program. Discusses the development of pilot programs and a partnership with a local nonprofit and the University of Nebraska College of Public Health.
Author(s): Martha Hostetter, Sarah Klein Date: 04/2021 Type: Document Sponsoring organization: Milbank Memorial Fund view details
Sustainability Strategies for Community-based Palliative Care
Summarizes themes from two roundtable discussions conducted in late 2018 with 9 rural palliative care programs in Minnesota and surrounding states. Offers examples and resources for sustainability strategies to support community-based palliative care programs.
Date: 03/2021 Type: Document Sponsoring organization: Stratis Health view details
High-Functioning Rural Medicare ACOs – A Qualitative Review
Describes the success factors common to high-performing Accountable Care Organizations (ACOs) based in rural areas of New York, Maine, Missouri and Arkansas, and New Hampshire. Examines these organizations' governance, ACO history, operations, finances, population health, and lessons learned.
Author(s): Thomas Vaughn, Keith Mueller, Clinton MacKinney Date: 02/2021 Type: Document Sponsoring organization: RUPRI Center for Rural Health Policy Analysis view details
Accountable Care Hospitals and Preventable Emergency Department Visits for Rural Dementia Patients
Examines differences in the frequency of emergency department visits among rural and urban patients with Alzheimer's disease and related dementias (ADRD). Compares the odds of preventable ED visits for ADRD patients at hospitals affiliated and not affiliated with an Accountable Care Organization (ACO).
Author(s): Nianyang Wang, Aitalohi Amaize, Jie Chen Citation: Journal of the American Geriatrics Society, 69(1), 185-190 Date: 01/2021 Type: Document view details
Continuing on the Road to Value
Slides presented at the Indiana Rural Health Association's Annual Public Policy Forum in 2021. Discusses management methods and policy initiatives for transitioning hospitals to value-based care. Includes information on the Community Health Access and Rural Transformation (CHART) Model, Accountable Care Organization (ACO) Pathways to Success, and global budgeting.
Author(s): Keith J. Mueller Date: 01/2021 Type: Presentation Slides Sponsoring organization: Rural Policy Research Institute view details