Association between physician-hospital integration and inpatient care delivery in accountable care organizations: An instrumental variable analysis.

ABSTRACT:

Objective

To investigate the relationship between physician-hospital integration within accountable care organizations (ACOs) and inpatient care utilization and expenditure.

Data sources

The primary data were Massachusetts All-Payer Claims Database (2009-2013).

Study setting

Fifteen provider organizations that entered a commercial ACO contract with a major private payer in Massachusetts between 2009 and 2013.

Study design

Using an instrumental variable approach, the study compared inpatient care delivery between patients of ACOs demonstrating high versus low integration. We measured physician-hospital integration within ACOs by the proportion of primary care physicians in an ACO who billed for outpatient services with a place-of-service code indicating employme

SUBMITTER: Lin MY 

PROVIDER: S-EPMC11622268 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature