How does being part of a pediatric accountable care organization impact health service use for children with disabilities?

ABSTRACT:

Objective

To examine the impact of a Medicaid-serving pediatric accountable care organization (ACO) on health service use by children who qualify for Medicaid by virtue of a disability under the "aged, blind, and disabled" (ABD) eligibility criteria.

Data sources/study setting

We evaluated a 2013 Ohio policy change that effectively moved ABD Medicaid children into an ACO model of care using Ohio Medicaid administrative claims data for years 2011-2016.

Study design

We used a difference-in-difference design to examine changes in patterns of health care service use by ABD-enrolled children before and after enrolling in an ACO compared with ABD-enrolled children enrolled in non-ACO managed care plans.

Data collection/extraction methods

We identified 17 356 children

SUBMITTER: Song PH 

PROVIDER: S-EPMC6736906 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature