Changes in spending and quality after ACO contract participation for dually eligible beneficiaries with mental illness.

ABSTRACT:

Background

Fragmented care and misaligned payment across Medicare and Medicaid lower care quality for dually eligible beneficiaries with mental illness. Accountable care organizations aim to improve the quality and value of care.

Methods

Using Medicare fee-for-service Part A and B claims data from 2009 to 2017 and a difference-in-differences design, we compared the spending and utilization of dually eligible beneficiaries with mental illness that were and were not attributed to Medicare ACO providers before and after ACO contract entry.

Results

Dually eligible beneficiaries with mental illness (N = 5,157,533, 70% depression, 22% bipolar, 27% schizophrenia and other psychotic disorders) had average annual Medicare spending of $17,899. ACO contract participation was gen

SUBMITTER: Colla CH 

PROVIDER: S-EPMC9898178 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature