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Dissertations / Theses on the topic 'Accountable care organizations'

Author: Grafiati

Published: 4 June 2021

Last updated: 26 July 2025

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1

Anderson, Benjamin Michael. "Patient Experience and Readmissions Among Medicare Shared Savings Programs Accountable Care Organizations." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5539.

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In 2011, Medicare patients represented the largest share of total readmissions and health costs when compared to all other patient categories. Because patient-centered care drives the use of health services, the U.S. Patient Protection and Affordable Care Act outlined improving the patient experience to reduce readmission rates; however, the relationship between patient experience and readmissions is not well understood. Grounded in systems theory, the purpose of this correlational study was to determine if the relationship between patient experience and readmission rates in Medicare Shared Sa

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2

Plauché, Leneé Michele. "Eliminating waste in US health care: evaluating accountable care organizations as a model for quality sustainable care." Thesis, Boston University, 2013. https://hdl.handle.net/2144/12191.

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Thesis (M.A.)--Boston University<br>In 2011, the United States spent $2.7 trillion in health care expenditures, accounting for 17.9 percent of the Gross Domestic Product (GDP). Health care spending increased by 3.9 percent in 2011 and is expected to surpass 20 percent of GDP by 2020. An investigation of national trends in health spending conducted by the Institute of Medicine (IOM) estimates that approximately 30 percent of US health expenditures—that is, about $750 billion—is wasteful spending. Analysis of spending trends suggests waste in health care falls into one of six categories: (1) fai

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3

Moore, Saleema. "Enabling Successful Implementation of Accountable Care Organizations| Understanding Organizational Change in Regionally-Based Multi-Stakeholder Healthcare Networks." Thesis, Brandeis Univ., The Heller School for Social Policy and Mgmt, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3611100.

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<p> The Accountable Care Organization (ACO) has been introduced in the US as a health system reform initiative with potential to achieve the immediate and long-term goals of improving population health, improving quality and producing greater value for the healthcare dollars spent. Over the past half-century, a number of health system reforms have been designed and implemented with these goals as the intended outcomes. These efforts have produced, at best, incremental learning, variable improvements in performance outcomes, and modest cost-savings. Early evaluations of the health, quality and

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4

Campbell, William W. III. "A COMPARISON OF QUALITY INDICATORS BETWEEN MEDICARE ACCOUNTABLE CARE ORGANIZATIONS AND HEALTH MAINTENANCE ORGANIZATIONS USING PUBLICLY AVAILABLE DATA." VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5284.

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The purpose of this study is to explore differences in quality between Medicare Accountable Care Organizations (ACO) and Health Maintenance Organizations (HMO). Three outcomes measures reported by these plans use different methodologies but possess enough alignment to permit comparison: percent of diabetic patients with last HbA1c > 9.0%, colon cancer screening rate and ER visits per 1,000. These outcomes are the dependent variables (DV). A secondary purpose is to explore differences in quality based on the size of the beneficiary population served, using the same measures. As the Medicare

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5

Song, Zirui. "Financial Incentives in Health Care Reform: Evaluating Payment Reform in Accountable Care Organizations and Competitive Bidding in Medicare." Thesis, Harvard University, 2012. http://dissertations.umi.com/gsas.harvard:10177.

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Amidst mounting federal debt, slowing the growth of health care spending is one of the nation’s top domestic priorities. This dissertation evaluates three current policy ideas: (1) global payment within an accountable care contracting model, (2) physician fee cuts, and (3) expanding the role of competitive bidding in Medicare. Chapter one studies the effect of global payment and pay-for-performance on health care spending and quality in accountable care organizations. I evaluate the Blue Cross Blue Shield of Massachusetts Alternative Quality Contract (AQC), which was implemented in 2009 with s

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6

Song, Zirui. "Payment Reform in Massachusetts: Health Care Spending and Quality in Accountable Care Organizations Four Years into Global Payment." Thesis, Harvard University, 2014. http://etds.lib.harvard.edu/hms/admin/view/44.

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Background: The United States health care system faces two fundamental challenges: a high growth rate of health care spending and deficiencies in quality of care. The growth rate of health care spending is the dominant driver of our nation’s long-term federal debt, while the inconsistent quality of care hinders the ability of the health care system to maximize value for patients. To address both of these challenges, public and private payers are increasingly changing the way they pay providers—moving away from fee-for-service towards global payment contracts for groups of providers coming toge

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7

Dinette, David. "Diabetes Disease Management and Accountable Care Organizations: A Lean Approach to Improving Patient Outcomes and Reducing Cost." Digital Commons at Loyola Marymount University and Loyola Law School, 2013. https://digitalcommons.lmu.edu/etd/358.

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In 2011, Congress passed The Patient Protection and Affordable Care Act (PPACA) to reduce the number of uninsured Americans and reduce the overall cost of healthcare in the U.S. The PPACA encourages healthcare providers to form Accountable Care Organizations (ACO's). Accountable Care Organizations are groups of providers and suppliers that work together to coordinate care for the Medicare-Fee-For-Service patients they serve (RTI International, 2011). The PPACA is managed by The Centers for Medicare and Medicaid Services (CMS), which is responsible for writing, implementing and enforcing the ru

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8

Lan, Yingchao. "Essays on Inter-Organizational Collaborations." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1524195809938619.

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9

Racca, Kristie D. "Incentive Size Alignment with Accountable Care Organization Performance." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6652.

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Changes to the country's health care political landscape in 2012 resulted in the development of federal programs aimed at containing costs and improving the quality of care delivered. Accountable Care Organizations (ACO) emerged linking performance to rewards. Guided by Conrad's value-based performance incentive theory as the theoretical foundation, the purpose of this quantitative study was to determine the relationship between financial incentive size and ACO performance measures. The research questions examined the predictive relationship of incentive size and acute care readmission rates,

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10

Denney, Kimberly B. "Assessing Clinical Software User Needs for Improved Clinical Decision Support Tools." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1563.

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Consolidating patient and clinical data to support better-informed clinical decisions remains a primary function of electronic health records (EHRs). In the United States, nearly 6 million patients receive care from an accountable care organization (ACO). Knowledge of clinical decision support (CDS) tool design for use by physicians participating in ACOs remains limited. The purpose of this quantitative study was to examine whether a significant correlation exists between characteristics of alert content and alert timing (the independent variables) and physician perceptions of improved ACO qua

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11

Pierce, Shelly. "Accountable Care Organization Success Strategies: The Importance of System Changes." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5402.

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Accountable care organizations (ACOs) are a new health care reform initiative that has been highlighted as one of the most important organizational structures that could lead to quality improvements and cost savings in the United States through shared savings. The inability of health care managers to successfully implement ACOs could result in financial losses, reduced patient access to health care, and poor patient outcomes. Grounded by von Bertanlaffy's general systems theory, the purpose of this multiple case study was to explore the system change strategies health care managers used to imp

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12

Dearing, Kristen R. "A Model for Developing an Outpatient Palliative Care Clinic within an Accountable Care Organization." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/299123.

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The purpose of this practice inquiry project is to create a model for implementing an outpatient palliative care clinic within an organization of healthcare providers who participate in shared savings for Medicare patients, also known as, an accountable care organization (ACO). The goal of this project is that it can be used by future health care administrators to successfully create and implement an outpatient palliative care clinic. The philosophical nursing foundation for palliative care is discussed to set the groundwork for the model proposed. The benefits of palliative care nursing for p

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13

Fouayzi, Hassan. "Using Healthcare Data to Inform Health Policy: Quantifying Cardiovascular Disease Risk and Assessing 30-Day Readmission Measures." eScholarship@UMMS, 2019. https://escholarship.umassmed.edu/gsbs_diss/1031.

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Health policy makers are struggling to manage health care and spending. To identify strategies for improving health quality and reducing health spending, policy makers need to first understand health risks and outcomes. Despite lacking some desirable clinical detail, existing health care databases, such as national health surveys and claims and enrollment data for insured populations, are often rich in information relating patient characteristics to heath risks and outcomes. They typically encompass more inclusive populations than can feasibly be achieved with new data collection and are valua

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14

Lin, Meng-Yun. "Physician-hospital integration and efficiency of accountable care organizations." Thesis, 2018. https://hdl.handle.net/2144/32683.

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Since the Patient Protection and Affordable Care Act (ACA) has dramatically reduced the number of uninsured, the U.S. healthcare system now faces a tougher challenge: to simultaneously improve quality of care and contain costs. Accountable Care Organizations (ACOs) that hold providers across settings collectively responsible for the quality and costs of care are currently the ACA’s best hope for pursuing the dual goal. Accompanied by the ACO momentum, physicians are increasingly employed by hospitals, leading to greater physician-hospital integration. Though there is evidence that provider con

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15

"Studies in the implementation and impact of early Medicare accountable care organizations." Tulane University, 2017.

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16

Shetty, Vishal. "Searching for the Fulcrum: Can Accountable Care Organizations Lower Spending by Balancing Specialists-to-Primary Care Providers?" 2018. https://scholarworks.umass.edu/masters_theses_2/696.

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Background: While value-based payment models emphasizing care coordination have been widely implemented to improve quality and lower expenditures, supporting empirical evidence is sparse. Our objective was to quantify the impact of specialist-to-primary care physician involvement within accountable care organization (ACO) and its association with lower spending. Methods: We conducted a retrospective cohort study of Medicare Shared Savings Program ACOs from 2012-2016 using publicly available data provided by the Centers for Medicare and Medicaid Services at the ACO level. We examined the associ

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17

(9073700), Svetlana N. Beilfuss. "Essays on Patient Health Insurance Choice and Physician Prescribing Behavior." Thesis, 2020.

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<div>This dissertation consists of three chapters. The first chapter, Inertia and Switching in Health Insurance Plans, seeks to examine health insurance choice of families and individuals employed by a large Midwestern public university during the years 2012-2016. A growing number of studies indicate that consumers do not understand the basics of health insurance, make inefficient plan choices, and may hesitate to switch plans even when it is optimal to do so. In this study, I identify what are later defined as unanticipated, exogenous health shocks in the health insurance claims data, in orde

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18

McKell, Dawn C. "Does Merger and Acquisition Activity Play a Role in The Pre-Existing Healthcare Initiatives of Improved Quality and Decreased Costs Highlighted by The Affordable Care Act?" 2016. http://scholarworks.gsu.edu/bus_admin_diss/74.

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This is a quantitative study of archival data that examines Merger and Acquisition (M&A) activity using currently established healthcare quality and financial performance metrics. The research seeks to explicate the relationship between M&A activity and M&A experience in the healthcare industry as it relates to initiatives aimed at improving the quality and decreasing the cost of healthcare. The Affordable Care Act (ACA) legislation appears to be contributing to a trend toward M&A consolidation; by illuminating how this trend potentially impacts healthcare quality and cost reduction initiative

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19

Ro, Myungsun. "The expanding role of the pharmacist under the Patient Protection and Affordable Care Act of 2010." Thesis, 2016. https://hdl.handle.net/2144/17693.

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The Patient Protection and Affordable Care Act (PPACA) represents one of the most significant pieces of legislation in the history of United States healthcare. The PPACA has two main goals: to increase the insured patient population in the US and to reduce the overall cost while improving the quality of healthcare in the US. To accomplish the latter goal, healthcare providers are experiencing a movement toward integrated, team-oriented models that place increasing accountability on the providers and institutions. At the same time, these integrative models emphasize effective preventive care, w

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