Impact of a selective narrow network with comprehensive patient navigation on access, utilization, expenditures, and enrollee experiences.

ABSTRACT:

Objective

To examine the effect of enrollee switching from a broad-network accountable care organization (ACO) health maintenance organization (HMO) to a "high performance" ACO-HMO with a selective narrow network and comprehensive patient navigation system on access, utilization, expenditures, and enrollee experiences.

Data sources

Secondary administrative data were obtained for 2016-2020, and primary interview and survey data in 2021.

Study design

Fixed-effects instrumental variable analyses of administrative data and regression analyses of survey data. Outcomes included access, utilization, expenditures, and enrollee experience. Background information was gathered via interviews.

Data collection/extraction methods

We obtained medical expenditure/enrollment an

SUBMITTER: Brown TT 

PROVIDER: S-EPMC10012245 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature