NDLI: Initial Impacts of the Patient Care Networks of Alabama Initiative

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Initial Impacts of the Patient Care Networks of Alabama Initiative

Content Provider	Scilit
Author	Bronstein, Janet M. Morrisey, Michael A. Sen, Bisakha Engler, Sally Smith, Wilson K.
Copyright Year	2015
Description	Journal: Health Services Research To estimate the effects of medical home support on the use of clinical services and Medicaid expenditures. Medicaid claims. A difference-in-differences model where changes in utilization and expenditures of the intervention group are compared to changes in the nonintervention group. Using Medicaid claims from October 2010 through September 2013, service use and expenditures are measured for 12 months before and 21 months after implementation. Changes for four health status groups are examined separately. The introduction of community-based support was associated with a small reduction in use and no statistically significant overall effect on expenditures. However, among those with chronic and/or mental health conditions, there were modest, statistically significant increases in use of and expenditures for a range of ambulatory and inpatient health care services, while service use for those without these conditions declined. Emergency department use increased for all groups. Community-based support for medical home practices is associated with a shift in the service mix provided to higher cost, more vulnerable subgroups in Medicaid. Such systems are unlikely to be associated with significant overall cost savings, at least in the short term, but may have other benefits.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722207/pdf
Ending Page	166
Page Count	21
Starting Page	146
e-ISSN	14756773
DOI	10.1111/1475-6773.12319
Journal	Health Services Research
Issue Number	1
Volume Number	51
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2015-06-09
Access Restriction	Open
Subject Keyword	Journal: Health Services Research Public Health and Health Services Managed Care Techniques (e.g. Utilization Review) State Health Policies Managed Care Organizations (e.g.
Content Type	Text
Resource Type	Article

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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