The Hidden Roles That Management Partners Play In Accountable Care Organizations.

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  • Additional Information
    • NAICS/Industry Codes:
      923130 Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
    • Abstract:
      Accountable care organizations (ACOs) are often discussed and promoted as driven by physicians, hospitals, and other health care providers. However, because of the flexible nature of ACO contracts, management organizations may also become partners in ACOs. We used data from 2013-15 on 276 ACOs from the National Survey of Accountable Care Organizations to understand the prevalence of nonprovider management partners' involvement in ACOs, the services these partners provide, and the structure of ACOs that have such partners. We found that 37 percent of ACOs reported having a management partner, and two-thirds of these ACOs reported that the partner shared in the financial risks or rewards. Among ACOs with partners, 94 percent had data services provided by the partner, 87 percent received administrative services, 68 percent received educational services, and 66 percent received care coordination services. Half received all four of these services from their partner. ACOs with partners were more heavily primary care than other ACOs. ACOs with and without partners had similar performance on costs and quality in Medicare ACO programs. Our findings suggest that management partners play a central role in many ACOs, perhaps supplying smaller and physician-run ACOs with services or expertise perceived as necessary for ACO success. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Associate professor of health policy at the Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, in Lebanon, New Hampshire
      2Professor of management and director of the Health Policy and Management Program at the Robert F. Wagner Graduate School of Public Service, New York University, in New York City
      3Research project director at the Dartmouth Institute for Health Policy and Clinical Practice
      4Blue Cross of California Distinguished Professor Emeritus of Health Policy and Management, at the University of California, Berkeley
      5Professor of organization behavior at the School of Public Health and Professor of the Graduate School, at the University of California, Berkeley
      6Codirector of the Center for Healthcare Organizational and Innovation Research, at the University of California, Berkeley
      7Dean emeritus at the School of Public Health, at the University of California, Berkeley
      8Associate professor of health policy at the Dartmouth Institute for Health Policy and Clinical Practice
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2017.1025
    • Accession Number:
      128049994
  • Citations
    • ABNT:
      LEWIS, V. A. et al. The Hidden Roles That Management Partners Play In Accountable Care Organizations. Health Affairs, [s. l.], v. 37, n. 2, p. 292–298, 2018. Disponível em: . Acesso em: 18 ago. 2019.
    • AMA:
      Lewis VA, D’Aunno T, Murray GF, Shortell SM, Colla CH. The Hidden Roles That Management Partners Play In Accountable Care Organizations. Health Affairs. 2018;37(2):292-298. doi:10.1377/hlthaff.2017.1025.
    • APA:
      Lewis, V. A., D’Aunno, T., Murray, G. F., Shortell, S. M., & Colla, C. H. (2018). The Hidden Roles That Management Partners Play In Accountable Care Organizations. Health Affairs, 37(2), 292–298. https://doi.org/10.1377/hlthaff.2017.1025
    • Chicago/Turabian: Author-Date:
      Lewis, Valerie A., Thomas D’Aunno, Genevra F. Murray, Stephen M. Shortell, and Carrie H. Colla. 2018. “The Hidden Roles That Management Partners Play In Accountable Care Organizations.” Health Affairs 37 (2): 292–98. doi:10.1377/hlthaff.2017.1025.
    • Harvard:
      Lewis, V. A. et al. (2018) ‘The Hidden Roles That Management Partners Play In Accountable Care Organizations’, Health Affairs, 37(2), pp. 292–298. doi: 10.1377/hlthaff.2017.1025.
    • Harvard: Australian:
      Lewis, VA, D’Aunno, T, Murray, GF, Shortell, SM & Colla, CH 2018, ‘The Hidden Roles That Management Partners Play In Accountable Care Organizations’, Health Affairs, vol. 37, no. 2, pp. 292–298, viewed 18 August 2019, .
    • MLA:
      Lewis, Valerie A., et al. “The Hidden Roles That Management Partners Play In Accountable Care Organizations.” Health Affairs, vol. 37, no. 2, Feb. 2018, pp. 292–298. EBSCOhost, doi:10.1377/hlthaff.2017.1025.
    • Chicago/Turabian: Humanities:
      Lewis, Valerie A., Thomas D’Aunno, Genevra F. Murray, Stephen M. Shortell, and Carrie H. Colla. “The Hidden Roles That Management Partners Play In Accountable Care Organizations.” Health Affairs 37, no. 2 (February 2018): 292–98. doi:10.1377/hlthaff.2017.1025.
    • Vancouver/ICMJE:
      Lewis VA, D’Aunno T, Murray GF, Shortell SM, Colla CH. The Hidden Roles That Management Partners Play In Accountable Care Organizations. Health Affairs [Internet]. 2018 Feb [cited 2019 Aug 18];37(2):292–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=128049994&custid=s8280428