HealthLeaders Media July 11, 2019
Alexandra Wilson Pecci

ACOs in which 40% to 45% of the patient visits were provided by a specialist had $1,129 lower annual spending per beneficiary than ACOs with a specialist visit proportion of less than 35%.

An ACO’s ability to reduce spending requires more than primary care providers’ efforts. It also seems to require a specific balance of involvement from medical specialists, finds a new study in JAMA Network Open.

UMass Amherst researchers examined data on 620 ACOs from CMS’ Shared Savings Program to investigate the association between office visits to medical specialists and healthcare spending. The data spanned from April 2012 through September 2017.

They found that ACOs in which 40% to 45% of the patient visits were provided by a specialist...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Physician, Primary care, Provider, Value Based
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