Medicare Spending after 3 Years of the Medicare Shared Savings Program.

ABSTRACT:

Background

Health care providers who participate as an accountable care organization (ACO) in the voluntary Medicare Shared Savings Program (MSSP) have incentives to lower spending for Medicare patients while achieving high performance on a set of quality measures. Little is known about the extent to which early savings achieved by ACOs in the program have grown and been replicated by ACOs that entered the program in later years. ACOs that are physician groups have stronger incentives to lower spending than hospital-integrated ACOs.

Methods

Using fee-for-service Medicare claims from 2009 through 2015, we performed difference-in-differences analyses to compare changes in Medicare spending for patients in ACOs before and after entry into the MSSP with concurrent changes in spe

SUBMITTER: McWilliams JM 

PROVIDER: S-EPMC6269647 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature