Collaboration Structures in Integrated Healthcare Delivery Systems: An Exploratory Study of Accountable Care Organizations

References

• Adjerid I, Acquisti A, Telang R, Padman R, Adler-Milstein J(2016) The impact of privacy regulation and technology incentives: The case of health information exchanges. Management Sci. 62(4):1042–1063.Link, Google Scholar
• Ahuja V, Alvarez CA, Staats BR (2020) Maintaining continuity in service: An empirical examination of primary care physicians. Manufacturing Service Oper. Management 22(5):1088–1106.Link, Google Scholar
• Anderson TW, Rubin H (1949) Estimation of parameters of a single equation in a complete system of stochastic equations. Ann. Math. Statist. 20(1):46–63.Crossref, Google Scholar
• Angrist JD, Pischke J (2008) Mostly Harmless Econometrics: An Empiricist’s Companion (Princeton University Press, Princeton, NJ).Crossref, Google Scholar
• Atasoy H, Chen P, Ganju K (2017) The spillover effects of health IT investments on regional healthcare costs. Management Sci. 64(6):2515–2534.Link, Google Scholar
• Ayabakan S, Bardhan I, Zheng Z, Kirksey K (2017) The impact of health information sharing on duplicate testing. MIS Quart. 41(4):1083–1103.Crossref, Google Scholar
• Bailey MK, Weiss AJ, Barrett ML, Jiang HJ (2019) Characteristics of 30-day all-cause hospital readmissions, 2010–2016: Statistical Brief 248. Accessed January 1, 2022, https://www.hcup-us.ahrq.gov/reports/statbriefs/sb248-Hospital-Readmissions-2010-2016.jsp.Google Scholar
• Balio CP, Apathy NC, Danek RL (2019) Health information technology and accountable care organizations: A systematic review and future directions. eGEMS 7(1):24.Crossref, Google Scholar
• Belloni A, Chernozhukov V (2011) High Dimensional sparse econometric models: An Introduction. Alguier P, Gautier E, Stoltz G, eds. Inverse Problems of High-Dimensional Estimation (Springer, Berlin), 121–156.Crossref, Google Scholar
• Belloni A, Chernozhukov V, Hansen CB (2014a) High-dimensional methods and inference on structural and treatment effects. J. Econom. Perspect. 28(2):29–50.Crossref, Google Scholar
• Belloni A, Chernozhukov V, Hansen CB (2014b) Inference on treatment effects after selection among high-dimensional controls. Rev. Econ. Stud. 81(2):608–650.Crossref, Google Scholar
• Belloni A, Chernozhukov V, Wei Y (2016) Post-selection inference for generalized linear models with many controls. J. Bus. Econom. Statist. 34(4):606–619.Crossref, Google Scholar
• Belloni A, Chen D, Chernozhukov V, Hansen CB (2012) Sparse models and methods for optimal instruments with an application to eminent domain. Econometrica 80(6):2369–2429.Crossref, Google Scholar
• Belsley, DA (1991) Conditioning diagnostics: Collinearity and weak data in regression (No. 519.536 B452). (John Wiley & Sons).Google Scholar
• Billington C, Davidson R (2013) Leveraging open innovation using intermediary networks. Prod. Oper. Management 22(6):1464–1477.Crossref, Google Scholar
• Chandrasekaran A, Senot C, Boyer KK (2012) Process management impact on clinical and experiential quality: Managing tensions between safe and patient-centered healthcare. Manufacturing Service Oper. Management 14(4):548–566.Link, Google Scholar
• Clark JR, Huckman RS (2012) Broadening focus: Spillovers, complementarities, and specialization in the hospital industry. Management Sci. 58(4):708–722.Link, Google Scholar
• CMS (2016) Medicare accountable care organizations 2015 performance year quality and financial results. Accessed October 10, 2018, https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-08-25.html.Google Scholar
• CMS (2017) Accountable care organization 2017 quality measure narrative specifications. Accessed January 2018, https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/2017-Reporting-Year-Narrative-Specifications.pdf.Google Scholar
• CMS (2020) Accountable care organizations. Accessed January, https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/.Google Scholar
• Collett D (2003) Modelling Binary Data (CRC Press, Boca Raton, FL).Google Scholar
• Conti R, Gambardella A, Mariani M (2013) Learning to be Edison: Inventors, organizations, and breakthrough inventions. Organ. Sci. 25(3):833–849.Link, Google Scholar
• Cragg JG, Donald SG (1993) Testing identifiability and specification in instrumental variable models. Econometric Theory 9(2):222–240.Crossref, Google Scholar
• Dai T, Tayur S (2019) Healthcare operations management: A snapshot of emerging research. Manufacturing Service Oper. Management 22(5):869–887.Link, Google Scholar
• Dana JD Jr, Fong YF (2011) Product quality, reputation, and market structure. Internat. Econom. Rev. 52(4):1059–1076.Crossref, Google Scholar
• David G, Rawley E, Polsky D (2013) Integration and task allocation: Evidence from patient care. J. Econom. Management Strategy 22(3):617–639.Crossref, Google Scholar
• Davidson R, MacKinnon JG (1993) Estimation and Inference in Econometrics (Oxford University Press, New York).Google Scholar
• De Blok C, Meijboom B, Luijkx K, Schols J, Schroeder R (2014) Interfaces in service modularity: A typology developed in modular healthcare provision. J. Oper. Management 32(4):175–189.Crossref, Google Scholar
• Devaraj S, Kohli R (2003) Performance impacts of information technology: Is actual usage the missing link? Management Sci. 9(3):273–289.Link, Google Scholar
• Diamantidis CJ, Powe NR, Jaar BG, Greer RC, Troll MU, Boulware LE (2011) Primary care-specialist collaboration in the care of patients with chronic kidney disease. Clinical J. Amer. Soc. Nephrology 6(2):334–343.Crossref, Google Scholar
• Dobrzykowski DD, Tarafdar M (2015) Understanding information exchange in healthcare operations: Evidence from hospitals and patients. J. Oper. Management 36(1):201–214.Crossref, Google Scholar
• Donabedian A (1966) Evaluating the quality of medical care. Milbank Memorial Fund Quart. 44(3):166–206.Google Scholar
• Donabedian A (1988) The quality of care: how can it be assessed? J. Amer. Medical Assoc. 260(12):1743–1748.Crossref, Google Scholar
• Faraj S, Xiao Y (2006) Coordination in fast-response organizations. Management Sci. 52(8):1155–1169.Link, Google Scholar
• Fisher ES, Staiger DO, Bynum JP, Gottlieb DJ (2007) Creating accountable care organizations: The extended hospital medical staff. Health Affairs 26(1):44–57.Google Scholar
• Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW (2003) The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann. Internal Med. 138(3):161–167.Crossref, Google Scholar
• Gelman A, Hill J (2006) Data Analysis Using Regression and Multilevel/Hierarchical Models. (Cambridge University Press, New York).Crossref, Google Scholar
• Gonzalez-Smith J, Bleser WK, Muhlestein D, Richards R, McClellan MB, Saunders RS (2019) Medicare ACO results for 2018: More downside risk adoption, more savings, and all ACOs types now averaging savings. Health Affairs Blog. https://www. healthaffairs. org/do/10.1377/hblog20191024 65681.Google Scholar
• Grady J, Lin Z, Wang C, Keenan M, Nwosu C, Bhat K, Horwitz L, Drye E, Krumholz H, Bernheim S (2013) Measures updates and specifications report: Hospital-level 30-day risk-standardized readmission measures for acute myocardial infarction. Heart Failure and Pneumonia (version 6.0). Accessed October 10. 2018, https://qualitynet.cms.gov/inpatient/measures/readmission/resources#tab3.Google Scholar
• Green LV (2012) The vital role of operations analysis in improving healthcare delivery. Manufacturing Service Oper. Management 14(4):488–494.Link, Google Scholar
• Greene WH (2012) Econometric Analysis (Pearson Education India, Delhi, India).Google Scholar
• Gupta D, Wang L (2008) Revenue management for a primary-care clinic in the presence of patient choice. Oper. Res. 56(3):576–592.Link, Google Scholar
• Hair J, Black W, Babin B, Anderson R (2010) Multivariate Data Analysis (Prentice Hall, Upper Saddle River, NJ).Google Scholar
• Health Affairs Blog (2019) Medicare shared savings program ACO performance: Lower costs and promising results under ‘Pathways To Success’. Health Affairs Blog. Accessed September 14, 2020, 10.1377/hblog20200914.598838.Google Scholar
• Hilligoss B, Song PH, McAlearney AS (2017) Aligning for accountable care: Strategic practices for change in accountable care organizations. Health Care Management Rev. 42(3):192–202.Crossref, Google Scholar
• Hoang H, Rothaermel FT (2005) The effect of general and partner-specific alliance experience on joint R&D project performance. Acad. Management J. 48(2):332–345.Crossref, Google Scholar
• Hoffer-Gittell J (2002) Coordinating mechanisms in care provider groups: Relational coordination as a mediator and input uncertainty as a moderator of performance effects. Management Sci. 48(11):1408–1426.Link, Google Scholar
• Horrace WC, Oaxaca RL (2006) Results on the bias and inconsistency of ordinary least squares for the linear probability model. Econom. Lett. 90(3):321–327.Crossref, Google Scholar
• Huckman RS, Pisano GP (2006) The firm specificity of individual performance: Evidence from cardiac surgery. Management Sci. 52(4):473–488.Google Scholar
• Jha AK, Doolan D, Grandt D, Scott T, Bates DW (2008) The use of health information technology in seven nations. Internat. J. Medical informatics 77(12):848–854.Google Scholar
• Kazmi WH, Obrador G, Khan SS, Pereira BJ, Kausz AT (2004) Late nephrology referral and mortality among patients with end-stage renal disease: A propensity score analysis. Nephrology Dialysis Transplantation 19(7):1808–1814.Crossref, Google Scholar
• KC DS, Staats B (2012) Accumulating a portfolio of experience: The effect of focal and related experience on surgeon performance. Manufacturing Service Oper. Management 14(4):618–633.Link, Google Scholar
• KC DS, Terwiesch C (2012) An econometric analysis of patient flows in the cardiac intensive care unit. Manufacturing Service Oper. Management 14(1):50–65.Link, Google Scholar
• KC DS, Scholtes S, Terwiesch C (2020) Empirical research in healthcare operations: Past research, present understanding, and future opportunities. Manufacturing Service Oper. Management 22(1):73–83.Link, Google Scholar
• KC DS, Staats BR, Gino F (2013) Learning from my success and from others’ failure: Evidence from minimally invasive cardiac surgery. Management Sci. 59(11):2435–2449.Link, Google Scholar
• Kinchen KS, Sadler J, Fink N, Brookmeyer R, Klag MJ, Levey AS, Powe NR (2002) The timing of specialist evaluation in chronic kidney disease and mortality. Ann. Internal Medicine 137(6):479–486.Crossref, Google Scholar
• Kodner DL (2015) Managing high-risk patients: The Mass General care management program. Internat. J. Integrated Care 15(6):1–15.Crossref, Google Scholar
• Kohnke EJ, Mukherjee UK, Sinha KK (2017) Delivering long‐term surgical care in underserved communities: The enabling role of international NPOs as partners. Production Oper. Management 26(6):1092–1119.Crossref, Google Scholar
• Lan Y, Goradia D, Chandrasekaran A (2021) Ancillary cost implications of physicians multisiting and inter?organizational collaboration during healthcare delivery. Production Oper. Management https://doi.org/10.1111/poms.13567.Google Scholar
• Lan Y, Massimino BJ, Gray JV, Chandrasekaran A (2020) The effects of product development network positions on product performance and confidentiality performance. J. Oper. Management 66(7?8):866–894.Google Scholar
• Lee HL, Tang CS (2018) Socially and environmentally responsible value chain innovations: New operations management research opportunities. Management Sci. 64(3):983–996.Link, Google Scholar
• Lee SJ, Abbey JD, Heim GR, Abbey DC (2016) Seeing the forest for the trees: Institutional environment impacts on reimbursement processes and healthcare operations. J. Oper. Management 47–48(1):71–79.Crossref, Google Scholar
• Lewis VA, Schoenherr K, Fraze T, Cunningham A (2019) Clinical coordination in accountable care organizations: A qualitative study. Health Care Management Rev. 44(2):127.Google Scholar
• Lewis VA, Colla CH, Carluzzo KL, Kler SE, Fisher ES (2013) Accountable care organizations in the United States: Market and demographic factors associated with formation. Health Serv. Res. 48(6):1840–1858.Crossref, Google Scholar
• Li D, Eden L, Hitt MA, Ireland RD, Garrett RP (2012) Governance in multilateral R&D alliances. Organ. Sci. 23(4):1191–1210.Link, Google Scholar
• Long JS, Long JS (1997) Regression Models for Categorical and Limited Dependent Variables, vol. 7 (Sage).Google Scholar
• Lu LX, Lu SF (2018) Distance, quality, or relationship? Interhospital transfer of heart attack patients. Production Oper. Management 27(12):2251–2269.Crossref, Google Scholar
• MacDonald DJ, Blazer KR, Weitzel JN (2010) Extending comprehensive cancer center expertise in clinical cancer genetics and genomics to diverse communities: The power of partnership. J. National Comprehensive Cancer Network 8(5):615–624.Crossref, Google Scholar
• MACPAC (2021) Annual analysis of disproportionate share hospital allotments to states. Report to Congress on Medicaid and CHIP (Medicaid and CHIP Payment and Access Commission, Washington, DC), chap. 5, https://www.macpac.gov/wp-content/uploads/2021/03/March-2021-Report-to-Congress-on-Medicaid-and-CHIP.pdf.Google Scholar
• Mascia D, Angeli F, Di Vincenzo F (2015) Effect of hospital referral networks on patient readmissions. Soc. Sci. Medicine 132:113–121.Crossref, Google Scholar
• Medicaid (2021) Medicaid disproportionate share hospital (DSH) payments. Accessed May 17, 2021, https://www.medicaid.gov/medicaid/financial-management/medicaid-disproportionate-share-hospital-dsh-payments/index.html.Google Scholar
• Menachemi N, Rahurkar S, Harle CA, Vest JR (2018) The benefits of health information exchange: An updated systematic review. J. Amer. Medical Inform. Assoc. 25(9):1259–1265.Crossref, Google Scholar
• Mishra A, Chandrasekaran A, MacCormack A (2015) Collaboration in multi-partner R&D projects: The impact of partnering scale and scope. J. Oper. Management 33–34(1):1–14.Crossref, Google Scholar
• Muhlestein D, Bleser WK, Saunders RS, Richards R, Singletary E, McClellan MB (2019) Spread of ACOs and value-based payment models in 2019: Gauging the impact of pathways to success. Health Affairs Blog (October 21), https://www.healthaffairs.org/do/10.1377/hblog20191020.962600/full/.Google Scholar
• Nembhard IM, Tucker AL (2011) Deliberate learning to improve performance in dynamic service settings: Evidence from hospital intensive care units. Organ. Sci. 22(4):907–922.Link, Google Scholar
• Osadchiy N, Gaur V, Seshadri S (2016) Systematic risk in supply chain networks. Management Sci. 62(6):1755–1777.Link, Google Scholar
• Oxley JE, Sampson RC (2004) The scope and governance of international R&D alliances. Strategic Management J. 25(8‐9):723–749.Crossref, Google Scholar
• Paulus RA, Davis K, Steele GD (2008) Continuous innovation in healthcare: Implications of the Geisinger experience. Health Affairs 27(5):1235–1245.Crossref, Google Scholar
• Peck K, Usadi B, Mainor A, Newton H, Meara E (2018) How ACOs are caring for people with complex needs (Commonwealth Fund, New York).Google Scholar
• Peng DX, Heim GR, Mallick DN (2014) Collaborative product development: The effect of project complexity on the use of information technology tools and new product development practices. Production Oper. Management 23(8):1421–1438.Crossref, Google Scholar
• Paterick TE, Patel N, Tajik AJ, Chandrasekaran K (2017) Improving health outcomes through patient education and partnerships with patients. Proc. Baylor Univ. Medical Center 30(1):112–113.Crossref, Google Scholar
• Pilon M (2016) Measuring progress: Providers reveal doubts, hopes about ACOs. Hartford Business Journal (March 7), https://www.hartfordbusiness.com/article/measuring-progress-providers-reveal-doubts-hopes-about-acos.Google Scholar
• Provan KG, Milward HB (1995) A preliminary theory of interorganizational network effectiveness: A comparative study of four community mental health systems. Admin. Sci. Quart. 40(1):1–33.Crossref, Google Scholar
• Rahurkar S, Vest JR, Menachemi N (2015) Despite the spread of health information exchange, there is little evidence of its impact on cost, use, and quality of care. Health Affairs 34(3):477–483.Crossref, Google Scholar
• Roy CL, Poon EG, Karson AS, Ladak-Merchant Z, Johnson RE, Maviglia SM, Gandhi TK (2005) Patient safety concerns arising from test results that return after hospital discharge. Ann. Internal Medicine 143(2):121–128.Crossref, Google Scholar
• Senot C (2019) Continuity of care and risk of readmission: An investigation into the healthcare journey of heart failure patients. Production Oper. Management 28(8):2008–2030.Crossref, Google Scholar
• Senot C, Chandrasekaran A, Ward PT (2016) Collaboration between service professionals during the delivery of healthcare: Evidence from a multiple-case study in US hospitals. J. Oper. Management 42–43(1):62–79.Crossref, Google Scholar
• Senot C, Chandrasekaran A, Ward PT, Tucker AL, Moffatt-Bruce SD (2015) The impact of combining conformance and experiential quality on hospitals’ readmissions and cost performance. Management Sci. 62(3):829–848.Link, Google Scholar
• Serpa JC, Krishnan H (2018) The impact of supply chains on firm-level productivity. Management Sci. 64(2):511–532.Link, Google Scholar
• Shea J (1997) Instrument relevance in multivariate linear models: A simple measure. Rev. Econom. Statist. 79(2):348–352.Crossref, Google Scholar
• Shortell S, Gillies R, Anderson D, Mitchell J, Morgan K (1993) Creating organized delivery systems—the barriers and facilitators. Hospital Health Services Admin. 38(4):447–466.Google Scholar
• Shortell SM, Colla CH, Lewis VA, Fisher E, Kessell E, Ramsay P(2015) Accountable care organizations: The national landscape. J. Health Politics Policy Law 40(4):647–668.Crossref, Google Scholar
• Singer S, Shortell SM (2011) Implementing accountable care organizations ten potential mistakes and how to learn from them. J. Amer. Medical Assoc. 306(7):758–759.Crossref, Google Scholar
• Sommers LS, Marton KI, Barbaccia JC, Randolph J (2000) Physician, nurse, and social worker collaboration in primary care for chronically ill seniors. Arch. Internal Medicine 160(12):1825–1833.Crossref, Google Scholar
• Song H, Veeraraghavan S (2018) Quality of care: An operations perspective of health care quality. Dai T, Tayur S, eds. Handbook of Healthcare Analytics: Theoretical Minimum for Conducting 21st Century Research on Healthcare Operations, 79–108.Google Scholar
• Staiger DO, Stock JH (1994) Instrumental variables regression with weak instruments. Econometrica 65(3):557–586.Crossref, Google Scholar
• Tucker AL, Nembhard IM, Edmondson AC (2007) Implementing new practices: An empirical study of organizational learning in hospital intensive care units. Management Sci. 53(6):894–907.Link, Google Scholar
• Unruh MA, Jung HY, Kaushal R, Vest JR (2017) Hospitalization event notifications and reductions in readmissions of Medicare fee-for-service beneficiaries in the Bronx, New York. J. Amer. Medical Inform. Assoc. 24(e1):e150–e156.Crossref, Google Scholar
• U.S. Renal Data System (2010) Care of patients with chronic kidney disease. Annual report, chap. 3. https://www.usrds.org/media/2397/v1_03.pdf.Google Scholar
• Vest JR, Kern LM, Silver MD, Kaushal R, HITEC Investigators(2015) The potential for community-based health information exchange systems to reduce hospital readmissions. J. Amer. Medical Inform. Assoc. 22(2):435–442.Crossref, Google Scholar
• Walker DM (2018) Does participation in health information exchange improve hospital efficiency? Health Care Management Sci. 21(3):426–438.Crossref, Google Scholar
• Walker DM, Mora A, McAlearney S (2016) Accountable care organization hospitals differ in health IT capabilities. Amer. J. Management Care 22(12):802–807.Google Scholar
• Wessie J (1999) Seemingly unrelated estimation and the cluster adjusted sandwich estimator. Technical report.Google Scholar
• White H (1980) A heteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. Econometrica 48(4):817–838.Crossref, Google Scholar
• Wooldridge JM (2015) Introductory Econometrics: A Modern Approach (Cengage Learning).Google Scholar
• Xie W, Mehta N, Palvia P (2020) Value co-creation dimensions and challenges in EHR systems. J. Inform. Tech. Case Appl. Res. 22(3):188–215.Google Scholar
• Yaraghi N, Du AY, Sharman R, Gopal RD, Ramesh R (2015) Health information exchange as a multisided platform: Adoption, usage, and practice involvement in service co-production. Inform. Systems Res. 26(1):1–18.Google Scholar
• Yeager VA, Zhang Y, Diana ML (2015) Analyzing determinants of hospitals’ accountable care organizations participation: A resource dependency theory perspective. Medical Care Res. Rev. 72(6):687–706.Crossref, Google Scholar
• Zellner A (1962) An efficient method of estimating seemingly unrelated regressions and tests for aggregation bias. J. Amer. Statist. Assoc. 57(298):348–368.Google Scholar
• Zepeda ED, Sinha KK (2016) Toward an effective design of behavioral healthcare delivery: An empirical analysis of care for depression. Production Oper. Management 25(5):952–967.Crossref, Google Scholar