scholarly journals The association between Medicare accountable care organization enrollment and breast, colorectal, and prostate cancer screening

Cancer ◽  
2018 ◽  
Vol 124 (22) ◽  
pp. 4366-4373 ◽  
Author(s):  
Matthew J. Resnick ◽  
Amy J. Graves ◽  
Robert J. Gambrel ◽  
Sunita Thapa ◽  
Melinda B. Buntin ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Screening ◽  
Prostate Cancer Screening ◽  
Accountable Care Organization ◽  
Care Organization ◽  
Accountable Care

scholarly journals MP32-08 ACCOUNTABLE CARE ORGANIZATIONS AND THE USE OF PROSTATE CANCER SCREENING

2017 ◽  
Vol 197 (4S) ◽  
Author(s):  
Christian P. Meyer ◽  
Anna Krasnova ◽  
Jesse D. Sammon ◽  
Philipp Gild ◽  
Nicolas von Landenberg ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Screening ◽  
Prostate Cancer Screening ◽  
Accountable Care Organizations ◽  
Accountable Care

scholarly journals Medicare Accountable Care Organization Enrollment and Appropriateness of Cancer Screening

2018 ◽  
Vol 178 (5) ◽  
pp. 648 ◽  
Author(s):  
Matthew J. Resnick ◽  
Amy J. Graves ◽  
Sunita Thapa ◽  
Robert Gambrel ◽  
Mark D. Tyson ◽  
...  
Keyword(s):  
Cancer Screening ◽  
Accountable Care Organization ◽  
Care Organization ◽  
Accountable Care

Impact of Accountable Care Organizations on Prostate Cancer Screening and Biopsies in the United States

2019 ◽  
Vol 6 (3) ◽  
pp. 159-164 ◽  
Author(s):  
Quoc-Dien Trinh ◽  
Maxine Sun ◽  
Anna Krasnova ◽  
Ashwin Ramaswamy ◽  
Alexander P. Cole ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
United States ◽  
Cancer Screening ◽  
Prostate Cancer Screening ◽  
The United States ◽  
Accountable Care Organizations ◽  
Accountable Care

Accountable care organizations and the use of prostate cancer screening and breast cancer screening.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18308-e18308
Author(s):  
Quoc-Dien Trinh ◽  
Christian Meyer ◽  
Anna Krasnova ◽  
Jesse Sammon ◽  
Stuart R. Lipsitz ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Prostate Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Propensity Score ◽  
Prostate Cancer Screening ◽  
Accountable Care Organizations ◽  
Accountable Care ◽  
Medicare Beneficiaries ◽  
Shared Savings

e18308 Background: Accountable Care Organizations (ACOs) were established under the Affordable Care Act as a new payment model intended to impose greater responsibility on all stakeholders for cost control and quality improvement. Preventive services are an ideal target to monitor the effectiveness of new health care delivery models. We sought to examine and compare the prevalence of breast cancer screening (BCa-S), and prostate cancer screening (PCa-S) between ACO and traditional Medicare beneficiaries. We hypothesized that the use of BCa-S is higher among beneficiaries attributed to an ACO, whereas the use of PCa-S, a non-recommended test, would be unaffected by ACO assignment. Methods: Using a random 20% sample of Medicare beneficiaries, we assessed BCa-S in women aged < 75, (evidence-based cancer screening), and PCa-S in men < 75 (non-recommended cancer screening) between January 1, 2013 and December 31, 2013 with appropriate exclusion criteria following the review of guideline recommendations. ACO coverage was ascertained from the quarterly assignment in the Shared Savings Program ACO Beneficiary-level file. Propensity-score weighting was performed to balance out patient and sociodemographic covariates. Results: Following propensity-score weighting, our final cohorts of ACO and traditional Medicare beneficiaries included 52,987 and 526,063 women for BCa-S; 86,936 and 814,221 men for PCa-S, respectively. The prevalence of screening in ACO vs. traditional Medicare were 35.0% vs. 25.2% for BCa-S, and 54.6% vs. 41.7% for PCa-S (all p < 0.001) Conclusions: The ACO model appears to have a salutary effect on preventive service utilization. Our findings vis-à-vis PCa-S among ACOs are likely a reflection of improved health care access rather than vetted screening practices. There is hope that such nonrecommended screening will decrease if more ACOs are required to move towards a “two-sided” risk shared savings and loss model.

Do accountable care organizations impact prostate cancer screening?

2018 ◽  
Vol 36 (15_suppl) ◽  
pp. 6546-6546
Author(s):  
Quoc-Dien Trinh ◽  
Alexander P Cole ◽  
Anna Krasnova ◽  
Ashwin Ramaswamy ◽  
David F. Friedlander ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Screening ◽  
Prostate Cancer Screening ◽  
Accountable Care Organizations ◽  
Accountable Care
Sign in / Sign up

Export Citation Format

Share Document