March 2018

Outpatient Referral Rates in Family Medicine

March 08, 2018

The American Journal of Accountable Care

Referral patterns by family physicians affect numerous aspects of medical care. This study compares the outpatient referral rates of residents, residency faculty, and clinical faculty.

Thirty-Day Readmissions: Relationship to Physician Attending Type and Social Connectedness

March 08, 2018

The American Journal of Accountable Care

This study examined patient clinical and demographic characteristics, healthcare system factors, and patients’ experiences of care associated with 30-day readmissions in a hospital with a Pioneer Accountable Care Organization.

The Skills of the Ambulatory Intensivist: A Review

March 07, 2018

The American Journal of Accountable Care

The ambulatory intensivist model makes achieving the Triple Aim a reality through improved physician interpersonal, analytic, intuitive, and advanced clinical skills, including the use of telemedicine.

A Managed Care Organization's Call Center–Based Social Support Role

March 07, 2018

The American Journal of Accountable Care

This study describes an alternative approach to linking patients to community resources, such as food banks, housing, and medical transport, using a call center–based layperson role.

Chronic Pain as a Driver of Cost in ACO Arrangements

March 07, 2018

The American Journal of Accountable Care

A discussion of chronic pain prevalence, care obstacles, and potential opportunities for care improvement within the accountable care organization context at University of California, San Francisco Health.

ACO Quality Over Time: The MSSP Experience and Opportunities for System-Wide Improvement

February 14, 2018

The American Journal of Accountable Care

From 2013 to 2016, Medicare Shared Savings Program accountable care organizations (ACOs) improved quality. Continued infrastructure development funding, better relationships with postacute care facilities, and shared learnings among diverse ACOs would maximize quality improvement.

Medicare Accountable Care Spending Patterns: Shifting Expenditures Associated With Savings

February 12, 2018

The American Journal of Accountable Care

From 2013 to 2016, successful Medicare Shared Savings Program accountable care organizations reduced spending by shifting expenditures from the inpatient and postacute care setting to the physician office setting.