Date of Conferral

2022

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

James Rohrer

Abstract

The association between efficiency and quality of care among accountable care organizations is not fully understood. Therefore, the purpose of this quantitative study was to examine the relationships between ACO efficiency, ACO financial performance, and ACO quality scores in the states of Florida and Texas. Guided by structural contingency theory, the research questions explored whether there was a statistically significant relationship between ACO efficiency and financial performance, as well as ACO efficiency and the quality of care among ACOs in the states of Texas and Florida in 2018 using all ACOs located in those states. The results of the study concluded that there was a statistically significant relationship between ACO efficiency and financial performance, and no relationship between ACO efficiency and ACO quality in ACOs in the states of Texas and Florida when controlling for a shared savings plan, the investment model, the advanced payment model, total inpatient expenditures, total outpatient expenditures, Texas, and Florida (time in program was not available in the dataset). It is recommended that ACOs review their current structure and continue to work on increasing their financial performance and efficiency levels together to ensure that they are continuing to be efficient during the COVID-19 pandemic. By increasing efficiency levels and financial performance, patients and their wider community can be offered more robust services within the community, promoting positive social change.

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