Spending on these beneficiaries was $143 less per quarter (or $572 per year) than spending for beneficiaries not assigned to an ACO. More detailed analyses revealed that savings occurred only for beneficiaries in ACOs who regularly received care from primary care physicians.
‘The percent of long-term dialysis beneficiaries assigned to an Account Care Organization increased from 6% to 23% from 2012 to 2016.’
"There are newer programs directed specifically at this group of patients, including the End-Stage Renal Disease Seamless Care Organization, or ESCO, program started in October 2015 and the upcoming Advancing American Kidney Health Initiative," said Dr. Shahinian. "Our study looked at an older and more general program, the Medicare Shared Savings Program ACOs, which started in 2012 and were directed to the Medicare population in general.
In future work, it will be of interest to see if the newer, more kidney disease-specific programs will do even better than the ACO programs were able to achieve."
An accompanying editorial re-iterates this thought, noting that "one reason why savings among ACO beneficiaries receiving long-term dialysis are small--or nonexistent--may be because many ACOs do not focus specifically on patients with end-stage kidney disease."
Source: Eurekalert
