Accountable care organizations and Medicare payments for residents with ADRD in disadvantaged neighborhoods.

ABSTRACT:

Introduction

Accountable care organizations (ACOs) are well positioned to promote care coordination. However, robust evidence of ACOs' impact on Medicare payments for residents with Alzheimer's disease and related dementias (ADRD) in disadvantaged neighborhoods remains limited.

Methods

Using a 2016 to 2020 longitudinal dataset, we examined the effects of ACO enrollment on Medicare payments for people newly diagnosed with ADRD, focusing on the neighborhood Social Vulnerability Index (SVI) and its subcategories. Multivariable generalized estimating equation (GEE) models were applied.

Results

ACO enrollment was associated with significantly reduced total payments across all SVI subcategories. The highest cost savings were observed among ADRD patients living in neighborho

SUBMITTER: Jang S 

PROVIDER: S-EPMC11953568 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature