This article is the latest in the Health Affairs Forefront series, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure patient-centered, cost-efficient care under the umbrella of accountable care.
This article is written by Joshua Liao and Amol Navathe in response to the latest developments in policy and research affecting accountable care. Other authors will contribute to the series as well.
Additional articles will be published throughout 2023. Readers are encouraged to review the Call for Submissions for this series.
"Using Advanced Payments In Population-Based Models To Address Equity", Health Affairs Forefront, May 25, 2023. DOI: 10.1377/forefront.20230524.708820
Hospital Consolidation: The Rise of Geographically Distant Mergers
In this Viewpoint, Dr. Amol Navathe and John Connolly describe how and why cross-market mergers are different than prototypical within-market mergers in their effects on patients and communities, why the trend toward cross-market mergers may be accelerating, and future policy and research directions.
Navathe AS, Connolly JE. Hospital Consolidation: The Rise of Geographically Distant Mergers. JAMA. Published online April 13, 2023. doi:10.1001/jama.2023.5391
Performance of Physician Groups and Hospitals Participating in Bundled Payments Among Medicare Beneficiaries
This cohort study and difference-in-differences analysis of PGPs and hospital participation in BPCI found that bundled payments were associated with cost savings for surgical episodes for PGPs, and savings for both surgical and medical episodes for hospitals. Policy makers should consider the comparative performance of participant types when designing and evaluating bundled payment models.
Liao JM, Huang Q, Wang E, et al. Performance of Physician Groups and Hospitals Participating in Bundled Payments Among Medicare Beneficiaries. JAMA Health Forum. 2022;3(12):e224889. doi:10.1001/jamahealthforum.2022.4889
The study results suggest that low-value care is less common in Medicare Advantage than Traditional Medicare, with elements of insurance design present in Medicare Advantage associated with fewer low-value services.
Boudreau E, Schwartz R, Schwartz AL, et al. Comparison of Low-Value Services Among Medicare Advantage and Traditional Medicare Beneficiaries. JAMA Health Forum. 2022;3(9):e222935. doi:10.1001/jamahealthforum.2022.2935
Selection and Causal Effects in Voluntary Programs: Bundled Payments in Medicare