What question did this study set out to answer?

Examine the relationship between ACO efficiency on entry and the likelihood of earning shared savings bonuses after a policy change.

February 28, 2026Open Access

Accountable Care Organization Efficiency on Entry and Shared Savings Bonuses

Key Points

Examine the relationship between ACO efficiency on entry and the likelihood of earning shared savings bonuses after a policy change.
Conducted a cross-sectional analysis of ACOs
Assessed efficiency on entry
Analyzed bonus earnings before and after policy changes
Less efficient ACOs had higher odds of earning bonuses compared to more efficient ACOs
The introduction of regional benchmark adjustment in 2017 affected bonus allocation
Overall odds of earning bonuses increased for all ACOs across efficiency levels

Abstract

In this cross-sectional study, ACOs across the range of efficiency on entry had greater odds of earning bonuses after the introduction of the regional benchmark adjustment in 2017. However, less efficient ACOs had significantly greater odds of earning bonuses compared with more efficient ACOs, before and after the policy change.

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Discussion

Authors

Arnav Srivastava

Addison Shay

Samuel R. Kaufman

Journals

JAMA Network Open

Actions

Institutions

University of Michigan

Massachusetts General Hospital

New York University

References and Citations

Connected Papers

Building similarity graph...

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Accountable Care Organization Efficiency on Entry and Shared Savings Bonuses

Key Points

Abstract

Citation Network

Connected Papers

Discussion

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion

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