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Organizational Capacity of Hospitals Co-Participating in Accountable Care Organizations and Bundled Payments.

Am J Med Qual

January 2022

Department of Medicine, University of Washington School of Medicine, Seattle, WA Value and Systems Science Lab, Seattle, WA Leonard Davis Institute of Health Economics, Philadelphia, PA Department of Medical Ethics and Health Policy, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA Illinois Department of Public Health, Springfield, IL American Hospital Association, Chicago, IL CMC Philadelphia VA Medical Center, Philadelphia, PA.

Article Synopsis
  • - The study focuses on the importance of building organizational capacity in hospitals engaged in payment models like bundled payments and accountable care organizations, specifically highlighting co-participant hospitals that have experience with both models.
  • - A national survey of 424 American Hospital Association member hospitals was conducted, revealing that both co-participant and bundled payment hospitals have strong capabilities in performance feedback and using health IT for risk assessment, with a notable 38% response rate.
  • - While care management capacities were similar across both groups, bundled payment hospitals demonstrated better utilization of postacute care providers, suggesting that hospitals with experience in multiple payment models might adopt different strategies compared to those with experience in just one model.
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