Accountable care organizations: a strategy for future success?

Abstract

Purpose

The purpose of this paper is to assess the community dynamics and organizational characteristics of US hospitals that participate in accountable care organizations (ACO).

Design/methodology/approach

Data were obtained from the 2015 American Hospital Association annual survey and the 2015 medicare final rule standardizing file. The study evaluated 785 hospitals which operate ACO in contrast to 1,446 hospitals without an ACO.

Findings

In total, 89 percent of hospitals using ACO’s are located in urban communities and 87 percent are not-for-profit. Hospitals with a higher case mix index are more likely to have an ACO.

Practical implications

ACOs allow healthcare organizations to expand their geographic markets, achieve greater efficiencies, and enhance the development of new clinical services. They also shift the focus of care from acute care hospitalization to the full continuum of care.

Originality/value

This research found ACOs with hospital and physician networks are an effective mechanism to control healthcare costs and reduce medical errors.

Citation

Harrison, J., Spaulding, A. and Harrison, D.A. (2018), "Accountable care organizations: a strategy for future success?", International Journal of Organization Theory & Behavior, Vol. 21 No. 2, pp. 113-121. https://doi.org/10.1108/IJOTB-03-2018-0019