Trends in Costs of Care and Utilization for Medicaid Patients With Diabetes in Accountable Care Communities.

ABSTRACT:

Background/objectives

Medicaid beneficiaries with diabetes have complex care needs. The Accountable Care Communities (ACC) Program is a practice-level intervention implemented by UnitedHealthcare to improve care for Medicaid beneficiaries. We examined changes in costs and utilization for Medicaid beneficiaries with diabetes assigned to ACC versus usual care practices.

Research design

Interrupted time series with concurrent control group analysis, at the person-month level. The ACC was implemented in 14 states, and we selected comparison non-ACC practices from those states to control for state-level variation in Medicaid program. We adjusted the models for age, sex, race/ethnicity, comorbidities, seasonality, and state-by-year fixed effects. We examined the difference between

SUBMITTER: Moin T 

PROVIDER: S-EPMC8260093 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature