"ACO Success Factors in the Medicare Shared Savings Program A Longitudi" by Marc Love
 

Document Type

Dissertation

Degree

Doctor of Business Administration

Major/Program

<--Please Select Department-->

First Advisor's Name

George Marakas

First Advisor's Committee Title

Committee Chair

Second Advisor's Name

Hemang Subramanian

Second Advisor's Committee Title

Committee Member

Third Advisor's Name

Arijit Sengupta

Third Advisor's Committee Title

Committee Member

Fourth Advisor's Name

Robert Rodriguez

Fourth Advisor's Committee Title

Committee Member

Keywords

ACO, value-based contracting, Medicare, primary care

Date of Defense

6-12-2023

Abstract

This is a longitudinal study that identifies the critical factors impacting Accountable Care Organizations’ (ACO) success in the Medicare Shared Savings Program (MSSP). The study was performed using secondary data - The Center for Medicare and Medicaid Services (CMS), Performance Year Financial and Quality Results Public Use Files (PUF). The MSSP offers providers and suppliers an opportunity to create an ACO. An ACO agrees to be held accountable for the quality, cost, and experience of care of an assigned Medicare fee-for-service (FFS) beneficiary population.

The dependent variable is incentive payout mediated by financial performance. The independent variables are quality of care, size, patient satisfaction, primary care visits, and reimbursement track. The moderators are level of sickness, years of participation, and high need beneficiaries. The methodology included combining the PUFs for 2016 through 2020 into one working file. Rigorous data clean-up was performed in Microsoft Excel to achieve data consistency and reliability. SPSS was used to perform statistical analyses, including computing variables, linear regressions, and forward stepwise regressions.

The results found that all the direct effects and moderating interactions were significant but the relationship between size and financial performance was the strongest. After a forward stepwise regression was performed on the entire model, quality also emerged as a strong success factor. A deeper dive into size was performed to determine whether success factors varied based on the size of the ACO. It was confirmed that success factors varied based on the size of the ACO, but quality and size were fairly consistent across groups.

Identifier

FIDC011210

Included in

Business Commons

Share

COinS
 

Rights Statement

Rights Statement

In Copyright. URI: http://rightsstatements.org/vocab/InC/1.0/
This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).