Exhibit 3:
Participating ACO Facilities, Services, Physicians and Patients by Financial Risk Acceptance, 2017–18
| Downside Risk | |||
|---|---|---|---|
| Yes (N=135) |
No (N=278) |
All (N=413a) |
|
| Participating Providers | |||
| Integrated Delivery System | 58% | 42% | 47% |
| Hospital (any) | 76% | 54% | 61% |
| Number of hospitals if any (mean) | 6.4 | 4.3 | 5.1 |
| Includes Critical Access Hospital | 30% | 20% | 23% |
| Includes Public Hosp | 13% | 11% | 12% |
| Federally Qualified Health Center | 24% | 27% | 26% |
| Nursing Facility | 38% | 15% | 22% |
| Behavioral health provider group b | 39% | 18% | 25% |
| ACO Provides or Contracts for the Following Services | |||
| Inpatient Rehabilitation | 59% | 39% | 46% |
| Routine Specialty Care | 77% | 59% | 65% |
| Palliative/hospice care | 65% | 42% | 50% |
| Home health/visiting nurse | 68% | 44% | 52% |
| Skilled Nursing Facility | 67% | 39% | 48% |
| Participating Physicians & Patients | |||
| Total Participating Physicians (mean) | 1210 | 441 | 698 |
| Primary Care Physician (mean) | 400 | 192 | 260 |
| Specialist (mean) | 805 | 257 | 440 |
| 50–100% of Primary Care Patients Covered by ACO Contract (%) | 34% | 24% | 27% |
Source/Notes: SOURCE Authors’ analysis of data from National Survey of Accountable Care Organizations (Wave 4, fielded 2017–18).
NOTES
a
Six ACOs did not provide complete information on risk-bearing status.
b
Wave 4 respondents are considered to have a behavioral health provider group if they indicate that they had a behavioral health provider group OR addiction treatment facility OR community mental health center.