Valerie Lewis, Carrie H. Colla, Benjamin B. Albright, and Joseph S. Ross
B. B. Albright, V. A. Lewis, J. S. Ross et al., “Preventive Care Quality of Medicare Accountable Care Organizations: Associations of Organizational Characteristics with Performance,” Medical Care, March 2016 54(3):326–35.
With their emphasis on coordinated care management and data collection, accountable care organizations (ACOs) are especially well positioned to improve the receipt and quality of preventive care services, from vaccines and cancer screenings to health risk assessments. To assess ACOs’ progress in promoting preventive care and identify the organizational characteristics that are associated with success in this area, Commonwealth Fund–supported researchers examined first-year results of ACOs participating in the Medicare Shared Savings Program (MSSP) and Pioneer program. The study focused on two domains of preventive care: disease prevention and wellness screening.
Two factors appear related to performance on preventive care quality: provider composition and upfront investment. Performance on disease prevention (e.g., vaccine and cancer screening) is more dependent on organizational structure and characteristics than performance on annual wellness screenings.