Do Changes in Post-acute Care Use at Hospitals Participating in an Accountable Care Organization Spillover to All Medicare Beneficiaries? 1,2,3,4 2 1,2,3 Amol S. Navathe, MD, PhD , Alexander M. Bain, B.A , and Rachel M. Werner, MD, PhD 1 2 Corporal Michael J. Cresencz VA Medical Center, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, 3 4 PA, USA; Leonard Davis Institute of Health Economics, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA; Division of Health Policy, University of Pennsylvania, Philadelphia, PA, USA. CONCLUSIONS: Hospital participation in an ACO did not BACKGROUND: While early evidence suggests that Medi- result in spillovers in PAC utilization or payments to all care accountable care organizations (ACOs) may reduce beneficiaries, even when considering high PAC-use con- post-acute care (PAC) utilization for attributed beneficia- ditions and ACO hospitals that also have an ACO- ries, whether these effects spill over to all beneficiaries participating PAC. admitted to hospitals participating in ACOs stray is unknown. KEY WORDS: accountable care organization; post-acute care; skilled OBJECTIVE: The objective of this study was to evaluate nursing facility; Medicare; health policy. whether changes in PAC use and Medicare spending spill over to all beneficiaries admitted
Journal of General Internal Medicine – Springer Journals
Published: Mar 8, 2018
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