Improving value for underserved populations with a community-based intervention: a retrospective cohort study

ABSTRACT:

Background

Healthcare inequity drives high costs, worse outcomes and is heavily influenced by social determinants of health (SDOH). Addressing health behaviors and SDOH through a culturally competent community-based exposure may be effective in improving value for Medicaid enrollees. This study aims to evaluate whether such an exposure lowers costs at equal or improved quality.

Methods

A retrospective cohort study leveraging claims data was conducted in Detroit, Michigan from April 2021 to April 2022 to examine the impact of a community-based peer support program on clinical, utilization and financial outcomes. A one-to-one propensity matching of 738 pairs of African American Medicaid enrollees was generated, and compared the difference of differences between inpatient, e

SUBMITTER: Pinnock C 

PROVIDER: S-EPMC10225756 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature