Capsule Commentary on Anderson et al., Quality of Care and Racial Disparities in Medicare among Potential ACOs
- Kim F. Rhoads MD MS, MPH, FACS
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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 ...
- Anderson RE, Ayanian JZ, Zaxlavsky AM, McWilliams JM. Quality of Care and Racial Disparities in Medicare among Potential ACOs. J Gen Intern Med. doi: 10.1007/s11606-014-2900-3.
- Peek ME Ferguson M, et al. Integrated community healthcare diabetes interventions to reduce disparities. Current Diabetes reports 2014;14:467.
- Pollack CE, Armstrong K; Accountable Care Organizations and health care disparities. JAMA 2011;305 (16):1706-7
- Huang LC, Ma Y, Rhoads KF. What factors influence minority use of National Cancer institute-designated cancer centers? Cancer 2014;120(3):399-407
- Finlayson S. Delivering quality care to patients. JAMA. 2006;296(16):2026–2027.
- Capsule Commentary on Anderson et al., Quality of Care and Racial Disparities in Medicare among Potential ACOs
Journal of General Internal Medicine
Volume 29, Issue 9 , p 1273
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- Springer US
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- 1. Stanford University, 300 Pasteur Drive H3680F, Stanford, CA, 94305, USA