Effects of Medicaid Accountable Care Organizations on children's access to and utilization of health services.

ABSTRACT:

Objective

To evaluate the effects of Medicaid Accountable Care Organizations (ACOs) on children's access to and utilization of health services.

Study setting and design

This study employs difference-in-differences models comparing ACO and non-ACO states from 2018 through 2021. Access measures are indicators for preventive and sick care sources, unmet healthcare needs, and having a personal doctor or nurse. Utilization measures are preventive and dental care, mental healthcare, specialist visits, emergency department visits, and hospital admissions.

Data sources and analytic sample

Secondary, de-identified data come from the 2016-2021 National Survey of Children's Health. The sample includes children with public insurance and ranges between 21,452 and 37,177 depending

SUBMITTER: Constantin J 

PROVIDER: S-EPMC11366971 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature