Hospital participation in Medicare ACOs: no change in admission practices and spending

Authors:
  • PMPhD David B. Muhlestein
    PhD David B. Muhlestein
  • PPPhD Canada Parrish
    PhD Canada Parrish
  • LBLaura G. Burke
    Laura G. Burke
  • MLMd Kathleen Y. Li
    Md Kathleen Y. Li
  • MLMd Michelle P. Lin
    Md Michelle P. Lin

Abstract
Hospital accountable care organization (ACO) participation did not impact emergency department admission rates, length of stay, or costs, suggesting limited effectiveness in reducing spending for unplanned admissions and challenging hospital-led ACO cost-saving strategies.