, Volume 29, Issue 9, p 1273
Date: 08 Jul 2014

Capsule Commentary on Anderson et al., Quality of Care and Racial Disparities in Medicare among Potential ACOs

This is an excerpt from the content

In this issue of JGIM, Anderson and colleagues report on an evaluation of the impact of physician group size (as a reflection of eligibility for Centers for Medicare and Medicaid Services (CMS)-defined Accountable Care Organizations [ACOs]) on racial disparities for Medicare beneficiaries.1 The investigators model the contribution of practice size, racial composition and health care quality on black-white differences in the delivery of select HEDIS measures and preventable hospitalizations for patients with diabetes and cardiovascular disease.

The authors find that large, ACO-eligible practices serve a high proportion of white and high socioeconomic status (SES) beneficiaries. Large practices were associated with smaller disparity gaps in evidence-based care. There was no advantage associated with large practice groups in preventable hospitalizations. There was no consistent correlation between process quality and disparities; and the authors found larger disparities within ACO eligible ...

This comment refers to the article available at: http://dx.doi.org/10.1007/s11606-014-2900-3.