Analysis of North Carolina Medicaid Claims Data to Simulate a Pediatric Accountable Care Organization.

ABSTRACT:

Importance

Despite momentum for pediatric value-based payment models, little is known about tailoring design elements to account for the unique needs and utilization patterns of children and young adults.

Objective

To simulate attribution to a hypothetical pediatric accountable care organization (ACO) and describe baseline demographic characteristics, expenditures, and utilization patterns over the subsequent year.

Design, setting, and participants

This retrospective cohort study used Medicaid claims data for children and young adults aged 1 to 20 years enrolled in North Carolina Medicaid at any time during 2017. Children and young adults receiving at least 50% of their primary care at a large academic medical center (AMC) in 2017 were attributed to the ACO. Data were

SUBMITTER: Cholera R 

PROVIDER: S-EPMC10403786 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature