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Journal article
Analyzing Determinants of Hospitals' Accountable Care Organizations Participation: A Resource Dependency Theory Perspective
Medical care research and review, Vol.72(6), pp.687-706
12/01/2015
PMID: 26156971
Web of Science ID: WOS:000364417500003
Abstract
Accountable care organizations (ACOs) are rapidly being implemented across the United States, but little is known about what environmental and organizational factors are associated with hospital participation in ACOs. Using resource dependency theory, this study examines external environmental characteristics and organizational characteristics that relate to hospital participation in Medicare ACOs. Results indicate hospitals operating in more munificent environments (as measured by income per capita: = 0.00002, p < .05) and more competitive environments (as measured by Health Maintenance Organization penetration: = 1.86, p < .01) are more likely to participate in ACOs. Organizational characteristics including hospital ownership, health care system membership, electronic health records implementation, hospital type, percentage of Medicaid inpatient discharge, and number of nursing home beds per 1,000 population over 65 are also related to ACO participation. Should the anticipated benefits of ACOs be realized, findings from this study can guide strategies to encourage hospitals that have not gotten involved in ACOs.
Details
- Title
- Analyzing Determinants of Hospitals' Accountable Care Organizations Participation
- Publication Details
- Medical care research and review, Vol.72(6), pp.687-706
- Resource Type
- Journal article
- Publisher
- Sage
- Number of pages
- 20
- Copyright
- © The Author(s) 2015.
- Identifiers
- WOS:000364417500003; 99380576730006600
- Academic Unit
- Health Sciences and Administration; Usha Kundu, MD College of Health
- Language
- English