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Capsule Commentary on Navathe, et al., Do Changes in Post-acute Care Use at Hospitals Participating in an Accountable Care Organization Spillover to all Medicare Beneficiaries?

Capsule Commentary on Navathe, et al., Do Changes in Post-acute Care Use at Hospitals... Capsule Commentary on Navathe, et al., Do Changes in Post-acute Care Use at Hospitals Participating in an Accountable Care Organization Spillover to all Medicare Beneficiaries? 1,2,3 Michael L. Barnett, MD, MS 1 2 Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA. J Gen Intern Med 33(6):943 This important evidence from Navathe and colleagues sup- DOI: 10.1007/s11606-018-4431-9 ports the concept that the financial incentives in the ACO © Society of General Internal Medicine 2018 program are too weak to generate program-wide changes in care delivery. Together with evidence of modest savings 2–4 among ACO-attributed patients in the MSSP, these results imply that hospitals are narrowly responding to ACO incen- tives to largely target patients they are financially responsible his careful analysis by Navathe and colleagues examines for. It is probably unrealistic to expect system-wide delivery a crucial question in health care policy: how does post- reform from payment changes that only affect small slices of acute care (PAC) use respond to new payment incentives? The http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of General Internal Medicine Springer Journals

Capsule Commentary on Navathe, et al., Do Changes in Post-acute Care Use at Hospitals Participating in an Accountable Care Organization Spillover to all Medicare Beneficiaries?

Journal of General Internal Medicine , Volume 33 (6) – Apr 9, 2018

Capsule Commentary on Navathe, et al., Do Changes in Post-acute Care Use at Hospitals Participating in an Accountable Care Organization Spillover to all Medicare Beneficiaries?

Abstract

Capsule Commentary on Navathe, et al., Do Changes in Post-acute Care Use at Hospitals Participating in an Accountable Care Organization Spillover to all Medicare Beneficiaries? 1,2,3 Michael L. Barnett, MD, MS 1 2 Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical...
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References (5)

Publisher
Springer Journals
Copyright
Copyright © 2018 by Society of General Internal Medicine
Subject
Medicine & Public Health; Internal Medicine
ISSN
0884-8734
eISSN
1525-1497
DOI
10.1007/s11606-018-4431-9
Publisher site
See Article on Publisher Site

Abstract

Capsule Commentary on Navathe, et al., Do Changes in Post-acute Care Use at Hospitals Participating in an Accountable Care Organization Spillover to all Medicare Beneficiaries? 1,2,3 Michael L. Barnett, MD, MS 1 2 Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA. J Gen Intern Med 33(6):943 This important evidence from Navathe and colleagues sup- DOI: 10.1007/s11606-018-4431-9 ports the concept that the financial incentives in the ACO © Society of General Internal Medicine 2018 program are too weak to generate program-wide changes in care delivery. Together with evidence of modest savings 2–4 among ACO-attributed patients in the MSSP, these results imply that hospitals are narrowly responding to ACO incen- tives to largely target patients they are financially responsible his careful analysis by Navathe and colleagues examines for. It is probably unrealistic to expect system-wide delivery a crucial question in health care policy: how does post- reform from payment changes that only affect small slices of acute care (PAC) use respond to new payment incentives? The

Journal

Journal of General Internal MedicineSpringer Journals

Published: Apr 9, 2018

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