Table 3.
CMS outcomes and savings per beneficiary for 158 ACOs linked to CMS data, out of 267 ACOs that answered the question ‘Are you aware of Choosing Wisely?’
| ACOs unaware, or not taking steps (112 ACOs) | ACOs taking steps (46 ACOs) | χ2 univariate logistic regression (p value) | |
|---|---|---|---|
| Overall quality score (means, performance year 1) a | 70.8 | 73.2 | 0.13 |
| Patient experience | 86.9 | 88.8 | 0.20 |
| Shared decision making only | 74.4 | 74.9 | 0.21 |
| Care coordination | 67.4 | 71.5 | 0.08 |
| Preventive health | 69.3 | 72.1 | 0.22 |
| At risk population (Cardiovascular/Diabetes) | 59.6 | 60.3 | 0.79 |
| Savings per beneficiary (mean $, performance year 1) | 79.7 | −58.40 | 0.13 |
a
overall quality scores for performance year 1, as calculated with the quality points and domain weight of the 33 individual CMS measures out of 4 domains: patient/caregiver experience; care coordination/patient safety/preventive health/at-risk population (see Medicare Shared Savings Program quality measure benchmarks for the 2014 reporting year9)
ACO: Accountable Care Organization; CMS: Centers for Medicare and Medicaid Services