Valerie A. Lewis, PhD

This qualitative study examines the factors that provider organizations consider when contracting with managed care organizations under North Carolina’s Section 1115 demonstration waiver.

This article compares clinical and utilization profiles of Medicare patients who are attributed to provider groups with those of patients unattributed to any provider group in accountable care organization models.

The authors find 51% of accountable care organizations have private payer contracts, which are more likely than public contracts to include downside risk and upfront payments.