Medicaid Accountable Care Organizations and Disparities in Pediatric Asthma Care.

ABSTRACT:

Importance

Nearly 6 million children in the US have asthma, and over one-third of US children are insured by Medicaid. Although 23 state Medicaid programs have experimented with accountable care organizations (ACOs), little is known about ACOs' effects on longstanding insurance-based disparities in pediatric asthma care and outcomes.

Objective

To determine associations between Massachusetts Medicaid ACO implementation in March 2018 and changes in care quality and use for children with asthma.

Design, setting, and participants

Using data from the Massachusetts All Payer Claims Database from January 1, 2014, to December 31, 2020, we determined child-years with asthma and used difference-in-differences (DiD) estimates to compare asthma quality of care and emergency depar

SUBMITTER: Geissler KH 

PROVIDER: S-EPMC11606604 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature