Table 1.
Descriptive characteristics of ACOs that are existing organizations, some new partners, and all new partners; data from the National Survey of Accountable Care Organizations
Existing organization (N=51) |
Some new partners (N=74) |
All new partners (N=150) |
Chi-square or F-statistic |
|
---|---|---|---|---|
Composition | ||||
Hospital in ACO | 0.69 | 0.75 | 0.57 | 7.1* |
CHC in ACO | 0.16 | 0.41 | 0.29 | 8.4* |
Nursing facility in ACO | 0.33 | 0.34 | 0.20 | 5.8+ |
Integrated Delivery system | 0.67 | 0.58 | 0.45 | 8.5* |
Physician groups only | 0.16 | 0.13 | 0.33 | 13.2** |
Physicians | ||||
Total physicians (FTE) | 521 | 517 | 324 | 4.2* |
Percent physicians that are PCPs | 0.52 | 0.54 | 0.64 | 4.6* |
Services offered within the ACO | ||||
Primary care | 0.98 | 0.95 | 0.98 | 2.3 |
Routine specialty care | 0.72 | 0.63 | 0.61 | 1.8 |
Highly specialized care | 0.13 | 0.24 | 0.16 | 2.9 |
Hospital inpatient care | 0.62 | 0.65 | 0.59 | 0.92 |
Emergency Care | 0.63 | 0.63 | 0.53 | 2.4 |
Urgent care | 0.66 | 0.58 | 0.60 | 0.83 |
Inpatient rehab | 0.51 | 0.45 | 0.42 | 1.2 |
Outpatient rehab | 0.55 | 0.49 | 0.40 | 3.7 |
Behavioral health | 0.43 | 0.40 | 0.46 | 0.82 |
Skilled nursing | 0.19 | 0.18 | 0.22 | 0.51 |
Pediatric health | 0.75 | 0.52 | 0.52 | 8.4* |
Palliative or hospice care | 0.56 | 0.45 | 0.39 | 4.2 |
Home health | 0.48 | 0.38 | 0.35 | 2.6 |
Outpatient pharmacy | 0.45 | 0.30 | 0.23 | 8.8* |
Dental | 0.00 | 0.13 | 0.10 | 4.4 |
Contracts | ||||
Medicare ACO contract | 0.69 | 0.78 | 0.81 | 3.6 |
Medicaid ACO contract | 0.35 | 0.26 | 0.18 | 6.5* |
Private payer ACO contract | 0.86 | 0.64 | 0.52 | 19.1*** |
Multipayer ACO | 0.71 | 0.67 | 0.54 | 8.4* |
Have a contract with downside risk | 0.51 | 0.31 | 0.15 | 27.7*** |
Note:
indicates p<0.10;
indicates p <0.05;
indicates p <0.01;
indicates p <0.001