Health Care Spending And Use Among People Experiencing Unstable Housing In The Era Of Accountable Care Organizations.

ABSTRACT: Provider organizations are increasingly held accountable for health care spending in vulnerable populations. Longitudinal data on health care spending and use among people experiencing episodes of homelessness could inform the design of alternative payment models. We used Medicaid claims data to analyze spending and use among 402 people who were continuously enrolled in the Boston Health Care for the Homeless Program (BHCHP) from 2013 through 2015, compared to spending and use among 18,638 people who were continuously enrolled in Massachusetts Medicaid with no evidence of experiencing homelessness. The BHCHP population averaged $18,764 per person per year in spending-2.5 times more than spending among the comparison Medicaid population ($7,561). In unadjusted analyses this difference was e

SUBMITTER: Koh KA 

PROVIDER: S-EPMC7384249 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature