Low-Value Care and Clinician Engagement in a Large Medicare Shared Savings Program ACO: a Survey of Frontline Clinicians.

ABSTRACT:

Background

Although the Medicare Shared Savings Program (MSSP) created new incentives for organizations to improve healthcare value, Accountable Care Organizations (ACOs) have achieved only modest reductions in the use of low-value care.

Objective

To assess ACO engagement of clinicians and whether engagement was associated with clinicians' reported difficulty implementing recommendations against low-value care.

Design

Cross-sectional survey of ACO clinicians in 2018.

Participants

1289 clinicians in the Physician Organization of Michigan ACO, including generalist physicians (18%), internal medicine specialists (16%), surgeons (10%), other physician specialists (27%), and advanced practice providers (29%). Response rate was 34%.

Main measures

Primary expos

SUBMITTER: Markovitz AA 

PROVIDER: S-EPMC6957659 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature