Medicare Accountable Care Organization Enrollment and Appropriateness of Cancer Screening.

ABSTRACT:

Importance

Despite rapid diffusion of Accountable Care Organizations (ACOs), whether ACO enrollment results in observable changes in cancer screening remains unknown.

Objective

To determine whether Medicare Shared Savings Program (MSSP) ACO enrollment changes the appropriateness of screening for breast, colorectal, and prostate cancers.

Design, setting, and participants

For this population-based analysis of Medicare beneficiaries, we used Medicare data from 2007 through 2014 and evaluated changes in screening associated with ACO enrollment using differences-in-differences (DD) analyses. We then performed difference-in-difference-in-differences (DDD) analyses to determine whether observed changes in cancer screening associated with ACO enrollment were different across

SUBMITTER: Resnick MJ 

PROVIDER: S-EPMC5876897 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature