AJMC April 8, 2025
Mariétou H. Ouayogodé, PhD, Xiaodan Liang, MS, Sancia K. Ferguson, MD, MPH

A higher percentage of accountable care organization (ACO) primary care providers was associated with physician leadership, upside financial risk, and financial compensation of physicians tied to performance measures.

ABSTRACT

Objective: To assess the association between the organizational structure of accountable care organizations (ACOs) and provider workforce composition. Quantifying these relationships may improve understanding of factors contributing to changes in the health care workforce in ACOs and improve clinician recruitment and retention across ACOs to help them succeed in the program.

Study Design: Cross-sectional study of 409 ACOs from the National Survey of Accountable Care Organizations Wave 4 (2017-2018; response rate, 48%).

Methods: We evaluated ACO provider workforce composition. In multivariable linear regression models, we examined the relationship among ACO provider...

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Topics: ACO (Accountable Care), Payment Models, Primary care, Provider, Survey / Study, Trends, Value Based
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