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Accountable Care Organizations and Prostate Cancer Care

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Presentation on theme: "Accountable Care Organizations and Prostate Cancer Care"— Presentation transcript:

1 Accountable Care Organizations and Prostate Cancer Care
Brent K. Hollenbeck, Samuel R. Kaufman, Tudor Borza, Phyllis Yan, Lindsey A. Herrel, David C. Miller, Amy N. Luckenbaugh, Ted A. Skolarus, Vahakn B. Shahinian  Urology Practice  Volume 4, Issue 6, Pages (November 2017) DOI: /j.urpr Copyright © 2017 American Urological Association Education and Research, Inc. Terms and Conditions

2 Figure 1 Relationship between ACO alignment and adjusted rates of curative treatment, stratified by practice context. Patients in ACOs had adjusted rates of treatment similar to those of patients not in ACOs (p=0.33) independent of group practice context (interaction between ACO alignment and practice context p=0.39). Urology Practice 2017 4, DOI: ( /j.urpr ) Copyright © 2017 American Urological Association Education and Research, Inc. Terms and Conditions

3 Figure 2 Relationship between ACO alignment and adjusted spending in 12 months after prostate cancer diagnosis, stratified by practice context. Patients in ACOs had higher adjusted spending than those not in ACOs (p=0.03) for 12 months after prostate cancer diagnosis. Pattern was similar across 3 group practice contexts (interaction between ACO alignment and practice context p=0.90). Urology Practice 2017 4, DOI: ( /j.urpr ) Copyright © 2017 American Urological Association Education and Research, Inc. Terms and Conditions

4 Figure 3 Adjusted rates of treatment (A) and spending (B) for men newly diagnosed with prostate cancer treated by single specialty groups according to proportion of group’s patients aligned with ACOs (ie ACO penetration). Among single specialty group practices adjusted rates of treatment were similar according to ACO penetration within group panel of patients (p=0.87). Adjusted spending increased with ACO penetration (p <0.05). Groups without patients in ACOs had significantly lower spending than those with high level of ACO penetration (p=0.01). Urology Practice 2017 4, DOI: ( /j.urpr ) Copyright © 2017 American Urological Association Education and Research, Inc. Terms and Conditions


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