High-Risk Care Management Impact on Medicaid ACO Utilization and Spending
In Massachusetts’ largest Medicaid accountable care organization (ACO), high-risk care management significantly reduced spending, emergency department visits, and hospitalizations, demonstrating that targeted strategies can manage health care costs amid budget constraints.
Tacking Upwind: Reducing Spending Among High-risk Commercially Insured Patients
Although commercial accountable care organization populations are healthy on average, some individuals might benefit from programs for high-risk patients to mitigate high levels of health care utilization.
Population Turnover and Leakage in Commercial ACOs
Payment models that align financial incentives of payers, providers, and patients can mitigate spending growth in thoughtful ways, but the details of the models matter.
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