Impact of the Medicare Shared Savings Program on utilization of mental health and substance use services by eligibility and race/ethnicity.

ABSTRACT:

Objective

To assess the impact of the Medicare Shared Savings Program (MSSP) ACOs on mental health and substance use services utilization and racial/ethnic disparities in care for these conditions.

Data sources

Five percent random sample of Medicare claims from 2009 to 2016.

Study design

We compared Medicare beneficiaries in MSSP ACOs to non-MSSP beneficiaries, stratifying analyses by Medicare eligibility (disability vs age 65+). We estimated difference-in-difference models of MSSP ACOs on mental health and substance use visits (outpatient and inpatient), medication fills, and adequate care for depression adjusting for age, sex, race/ethnicity, region, and chronic medical and behavioral health conditions. To examine the differential impact of MSSP on our outcomes by r

SUBMITTER: Acevedo A 

PROVIDER: S-EPMC8313953 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature