{"id":"https://openalex.org/W2299206602","doi":"https://doi.org/10.1177/1077558716640411","title":"Accountable Care Organizations and Transaction Cost Economics","display_name":"Accountable Care Organizations and Transaction Cost Economics","publication_year":2016,"publication_date":"2016-03-23","ids":{"openalex":"https://openalex.org/W2299206602","doi":"https://doi.org/10.1177/1077558716640411","mag":"2299206602","pmid":"https://pubmed.ncbi.nlm.nih.gov/27009645"},"language":"en","primary_location":{"id":"doi:10.1177/1077558716640411","doi":"https://doi.org/10.1177/1077558716640411","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1077558716640411","pdf_url":null,"source":{"id":"https://openalex.org/S106284948","display_name":"Medical Care Research and Review","issn_l":"1077-5587","issn":["1077-5587","1552-6801"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","fnege-4","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Care Research and Review","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108558655","display_name":"Stephen S. Farnsworth Mick","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]},{"id":"https://openalex.org/I874609350","display_name":"Universit\u00e9 Jean Moulin Lyon III","ror":"https://ror.org/05b5c0584","country_code":"FR","type":"education","lineage":["https://openalex.org/I203339264","https://openalex.org/I874609350"]}],"countries":["FR","US"],"is_corresponding":true,"raw_author_name":"Stephen S. Farnsworth Mick","raw_affiliation_strings":["Universit\u00e9 Jean Moulin Lyon 3, Lyon, France","Virginia Commonwealth University, Richmond, VA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universit\u00e9 Jean Moulin Lyon 3, Lyon, France","institution_ids":["https://openalex.org/I874609350"]},{"raw_affiliation_string":"Virginia Commonwealth University, Richmond, VA, USA","institution_ids":["https://openalex.org/I184840846"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5035182129","display_name":"Patrick D. Shay","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I60060512","display_name":"Trinity University","ror":"https://ror.org/00t8gz605","country_code":"US","type":"education","lineage":["https://openalex.org/I60060512"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Patrick D. Shay","raw_affiliation_strings":["Trinity University, San Antonio, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Trinity University, San Antonio, TX, USA","institution_ids":["https://openalex.org/I60060512"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5108558655"],"corresponding_institution_ids":["https://openalex.org/I184840846","https://openalex.org/I874609350"],"apc_list":{"value":4400,"currency":"USD","value_usd":4400},"apc_paid":null,"fwci":9.0688,"has_fulltext":false,"cited_by_count":31,"citation_normalized_percentile":{"value":0.97358163,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"73","issue":"6","first_page":"649","last_page":"659"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9804999828338623,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9804999828338623,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11912","display_name":"Outsourcing and Supply Chain Management","score":0.01640000008046627,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/accountable-care-organizations","display_name":"accountable care organizations","score":0.9419999718666077},{"id":"https://openalex.org/keywords/transaction-cost-economics","display_name":"transaction cost economics","score":0.9869999885559082},{"id":"https://openalex.org/keywords/vertical-integration","display_name":"vertical integration","score":0.9179999828338623},{"id":"https://openalex.org/keywords/organizational-forms","display_name":"organizational forms","score":0.9340000152587891},{"id":"https://openalex.org/keywords/asset-specificity","display_name":"asset specificity","score":0.5889999866485596},{"id":"https://openalex.org/keywords/environmental-uncertainty","display_name":"environmental uncertainty","score":0.7839999794960022},{"id":"https://openalex.org/keywords/bargaining","display_name":"bargaining","score":0.3619999885559082},{"id":"https://openalex.org/keywords/human-resource-management","display_name":"human resource management","score":0.6420000195503235}],"concepts":[{"id":"https://openalex.org/C98965940","wikidata":"https://www.wikidata.org/wiki/Q877496","display_name":"Transaction cost","level":2,"score":0.8835729360580444},{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.6858276128768921},{"id":"https://openalex.org/C2778510605","wikidata":"https://www.wikidata.org/wiki/Q4808810","display_name":"Asset specificity","level":3,"score":0.6610209941864014},{"id":"https://openalex.org/C181169782","wikidata":"https://www.wikidata.org/wiki/Q1571520","display_name":"Vertical integration","level":2,"score":0.6458749771118164},{"id":"https://openalex.org/C516990006","wikidata":"https://www.wikidata.org/wiki/Q3578710","display_name":"Organizational economics","level":2,"score":0.5629830956459045},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5194027423858643},{"id":"https://openalex.org/C145760622","wikidata":"https://www.wikidata.org/wiki/Q174915","display_name":"Variable cost","level":2,"score":0.4580080211162567},{"id":"https://openalex.org/C76178495","wikidata":"https://www.wikidata.org/wiki/Q4808784","display_name":"Asset (computer security)","level":2,"score":0.42733627557754517},{"id":"https://openalex.org/C40700","wikidata":"https://www.wikidata.org/wiki/Q1411783","display_name":"Industrial organization","level":1,"score":0.40408164262771606},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.3969323933124542},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.3777383863925934},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2598709464073181},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.15205004811286926},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.11195960640907288}],"mesh":[{"descriptor_ui":"D003365","descriptor_name":"Costs and Cost Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003659","descriptor_name":"Decision Making, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017146","descriptor_name":"Models, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D060866","descriptor_name":"Accountable Care Organizations","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1177/1077558716640411","doi":"https://doi.org/10.1177/1077558716640411","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1077558716640411","pdf_url":null,"source":{"id":"https://openalex.org/S106284948","display_name":"Medical Care Research and Review","issn_l":"1077-5587","issn":["1077-5587","1552-6801"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","fnege-4","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Care Research and Review","raw_type":"journal-article"},{"id":"pmid:27009645","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27009645","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical care research and review : MCRR","raw_type":"Journal Article"},{"id":"pmh:oai:digitalcommons.trinity.edu:hca_faculty-1023","doi":null,"is_oa":false,"landing_page_url":"https://digitalcommons.trinity.edu/hca_faculty/24","pdf_url":null,"source":{"id":"https://openalex.org/S4377196476","display_name":"Digital Commons - Trinity University (Trinity University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I60060512","host_organization_name":"Trinity University","host_organization_lineage":["https://openalex.org/I60060512"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Care Administration Faculty Research","raw_type":"text"},{"id":"pmh:oai:scholarscompass.vcu.edu:hadm_pubs-1009","doi":null,"is_oa":false,"landing_page_url":"https://scholarscompass.vcu.edu/hadm_pubs/10","pdf_url":null,"source":{"id":"https://openalex.org/S4377196340","display_name":"VCU Scholars Compass (Virginia Commonwealth University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I184840846","host_organization_name":"Virginia Commonwealth University","host_organization_lineage":["https://openalex.org/I184840846"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Administration Publications","raw_type":"text"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":50,"referenced_works":["https://openalex.org/W76155154","https://openalex.org/W596712478","https://openalex.org/W606296441","https://openalex.org/W1526509694","https://openalex.org/W1534629186","https://openalex.org/W1571878477","https://openalex.org/W1602333280","https://openalex.org/W1684540946","https://openalex.org/W1973308529","https://openalex.org/W1978725349","https://openalex.org/W1984822865","https://openalex.org/W1994099082","https://openalex.org/W1998207479","https://openalex.org/W2011625853","https://openalex.org/W2015506257","https://openalex.org/W2015930340","https://openalex.org/W2016923940","https://openalex.org/W2020122910","https://openalex.org/W2023518276","https://openalex.org/W2028750332","https://openalex.org/W2029496142","https://openalex.org/W2030424346","https://openalex.org/W2032263676","https://openalex.org/W2056621186","https://openalex.org/W2079414640","https://openalex.org/W2089329252","https://openalex.org/W2089893693","https://openalex.org/W2096174828","https://openalex.org/W2106192666","https://openalex.org/W2112697655","https://openalex.org/W2135670358","https://openalex.org/W2136459864","https://openalex.org/W2141951236","https://openalex.org/W2142789760","https://openalex.org/W2143948312","https://openalex.org/W2145208187","https://openalex.org/W2152041980","https://openalex.org/W2157659233","https://openalex.org/W2160771767","https://openalex.org/W2163463353","https://openalex.org/W2212063287","https://openalex.org/W2302195150","https://openalex.org/W2319140733","https://openalex.org/W2400151992","https://openalex.org/W2442644810","https://openalex.org/W2790034944","https://openalex.org/W4205988164","https://openalex.org/W4251123181","https://openalex.org/W4298863114","https://openalex.org/W4388782232"],"related_works":["https://openalex.org/W2143588746","https://openalex.org/W2321312685","https://openalex.org/W3122078615","https://openalex.org/W1990962610","https://openalex.org/W6889299714","https://openalex.org/W2015506257","https://openalex.org/W2008083404","https://openalex.org/W1520114799","https://openalex.org/W2919959373","https://openalex.org/W2442644810"],"abstract_inverted_index":{"Using":[0],"a":[1,35,70],"Transaction":[2],"Cost":[3],"Economics":[4],"(TCE)":[5],"approach,":[6],"this":[7],"paper":[8],"explores":[9],"which":[10],"organizational":[11],"forms":[12],"Accountable":[13],"Care":[14],"Organizations":[15],"(ACOs)":[16],"may":[17,33,134,181],"take.":[18],"A":[19],"critical":[20],"question":[21],"about":[22],"form":[23,164],"is":[24],"the":[25,62,129,161,172],"amount":[26],"of":[27,58,72,99],"vertical":[28,138,144],"integration":[29,139,145],"that":[30,42,61,180],"an":[31,48],"ACO":[32,49,162,169,186],"have,":[34],"topic":[36],"central":[37],"to":[38,64,142,160],"TCE.":[39],"We":[40],"posit":[41],"contextual":[43],"factors":[44],"outside":[45],"and":[46,91,101,115,124,175,184],"inside":[47],"will":[50,67],"produce":[51,135],"variable":[52],"transaction":[53],"costs":[54,57,84,105,133],"(the":[55],"non-production":[56],"care)":[59],"such":[60],"decision":[63],"integrate":[65],"vertically":[66],"derive":[68],"from":[69,88,109,171],"comparison":[71],"these":[73,131],"external":[74],"versus":[75],"internal":[76],"costs,":[77],"assuming":[78],"reasonably":[79],"rational":[80],"management":[81],"abilities.":[82],"External":[83],"include":[85,106],"those":[86,107],"arising":[87,108],"environmental":[89],"uncertainty":[90],"complexity,":[92],"small":[93],"numbers":[94],"bargaining,":[95],"asset":[96],"specificity,":[97],"frequency":[98],"exchanges,":[100],"information":[102],"\"impactedness.\"":[103],"Internal":[104],"human":[110],"resource":[111],"activities":[112],"including":[113],"hiring":[114],"staffing,":[116],"training,":[117],"evaluating":[118],"(i.e.,":[119],"disciplining,":[120],"appraising,":[121],"or":[122,140],"promoting),":[123],"otherwise":[125],"administering":[126],"programs.":[127],"At":[128],"extreme,":[130],"different":[132],"either":[136],"total":[137],"little":[141],"no":[143],"with":[146],"most":[147],"ACOs":[148],"falling":[149],"in":[150],"between.":[151],"This":[152],"essay":[153],"demonstrates":[154],"how":[155],"TCE":[156,173,183],"can":[157],"be":[158],"applied":[159],"organization":[163],"issue,":[165],"explains":[166],"TCE,":[167],"considers":[168],"activity":[170],"perspective,":[174],"reflects":[176],"on":[177],"research":[178],"directions":[179],"inform":[182],"facilitate":[185],"development.":[187]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":7},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}