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