[article]
Titre : |
A Comparison of Health Care Expenditures for Medicaid-Insured Children with Autism Spectrum Disorder and Asthma in an Expanding Accountable Care Organization |
Type de document : |
Texte imprimé et/ou numérique |
Auteurs : |
Lee A. ROBINSON, Auteur ; Michelle MENEZES, Auteur ; Brian MULLIN, Auteur ; Benjamin LE COOK, Auteur |
Article en page(s) : |
p.1031-1044 |
Langues : |
Anglais (eng) |
Mots-clés : |
Accountable care organization Autism spectrum disorder Health care expenditures Health service utilization Value-based care |
Index. décimale : |
PER Périodiques |
Résumé : |
As value-based care continues to expand, more children with autism spectrum disorder (ASD) will be treated by accountable care organizations (ACOs), provider organizations seeking to improve population health while reducing costs. To inform ACO strategies for children with ASD, this study compared health care expenditures of children insured by a Medicaid managed care organization, empaneled to a safety net ACO, with ASD, asthma, and neither diagnosis. Compared to other study groups, children with ASD were more costly, had lower rates of acute care, and had higher rates of "leaked" care provided by home- and community-based mental health agencies outside of the ACO. These findings highlight the need for unique value-based strategies for children with ASD in a public sector ACO. |
En ligne : |
http://dx.doi.org/10.1007/s10803-019-04327-z |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=419 |
in Journal of Autism and Developmental Disorders > 50-3 (March 2020) . - p.1031-1044
[article] A Comparison of Health Care Expenditures for Medicaid-Insured Children with Autism Spectrum Disorder and Asthma in an Expanding Accountable Care Organization [Texte imprimé et/ou numérique] / Lee A. ROBINSON, Auteur ; Michelle MENEZES, Auteur ; Brian MULLIN, Auteur ; Benjamin LE COOK, Auteur . - p.1031-1044. Langues : Anglais ( eng) in Journal of Autism and Developmental Disorders > 50-3 (March 2020) . - p.1031-1044
Mots-clés : |
Accountable care organization Autism spectrum disorder Health care expenditures Health service utilization Value-based care |
Index. décimale : |
PER Périodiques |
Résumé : |
As value-based care continues to expand, more children with autism spectrum disorder (ASD) will be treated by accountable care organizations (ACOs), provider organizations seeking to improve population health while reducing costs. To inform ACO strategies for children with ASD, this study compared health care expenditures of children insured by a Medicaid managed care organization, empaneled to a safety net ACO, with ASD, asthma, and neither diagnosis. Compared to other study groups, children with ASD were more costly, had lower rates of acute care, and had higher rates of "leaked" care provided by home- and community-based mental health agencies outside of the ACO. These findings highlight the need for unique value-based strategies for children with ASD in a public sector ACO. |
En ligne : |
http://dx.doi.org/10.1007/s10803-019-04327-z |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=419 |
|