Early performance in medicaid accountable care organizations a comparison of Oregon and Colorado

JAMA Internal Medicine

Volumn 177, Issue 4, 2017, Pages 538-545

  McConnell, K John ^a   Renfro, Stephanie ^a   Chan, Benjamin K S ^a   Meath, Thomas H A ^a   Mendelson, Aaron ^a   Cohen, Deborah ^b   Waxmonsky, Jeanette ^c   McCarty, Dennis ^d   Wallace, Neal ^e   Lindrooth, Richard C ^f  

^a OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^b OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^c Office of Healthcare Transformation   (United States)

^d Oregon Health and Science University   (United States)

^e PORTLAND STATE UNIVERSITY   (United States)

^f UNIVERSITY OF COLORADO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; ADOLESCENT; AMBULATORY CARE; ARTICLE; CHILD HEALTH INSURANCE; COLORADO; COMPARATIVE STUDY; CONTROLLED STUDY; COST CONTROL; EMERGENCY WARD; FEMALE; GOVERNMENT; HOSPITAL ADMISSION; HUMAN; MALE; MANAGED CARE; MEDICAID; OREGON; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PROPENSITY SCORE; SOCIAL WELFARE; ADULT; CHILD; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH INSURANCE; HEALTH SERVICE; NONBIOLOGICAL MODEL; ORGANIZATION AND MANAGEMENT; PROCEDURES; STANDARDS; STATISTICS AND NUMERICAL DATA; TOTAL QUALITY MANAGEMENT; UNITED STATES; UTILIZATION;

ACCOUNTABLE CARE ORGANIZATIONS; ADOLESCENT; ADULT; CHILD; COLORADO; EFFICIENCY, ORGANIZATIONAL; FEMALE; FINANCING, GOVERNMENT; HEALTH EXPENDITURES; HEALTH SERVICES; HUMANS; MALE; MANAGED CARE PROGRAMS; MEDICAID; MODELS, ORGANIZATIONAL; OREGON; QUALITY IMPROVEMENT; REGIONAL HEALTH PLANNING; UNITED STATES;

EID: 85018193766     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2016.9098     Document Type: Article

References (32)

1. National Association of State Budget Officers. State Expenditure Report: Examining fiscal 2012-2014 state spending.Washington DC: National Association of State Budget Officers. https://higherlogicdownload.s3.amazonaws.com /NASBO/9d2d2db1-c943-4f1b-b750-0fca152d64c2 /UploadedImages/SER-Archive/State-Expenditure -Report-Fiscal-2012-2014-S.pdf. Published 2014. Accessed January 7, 2016.
2. Kocot SL, Dang-Vu C, White R, McClellan M. Early experiences with accountable care in Medicaid: Special challenges, big opportunities. Popul Health Manag. 2013;16(suppl 1):S4-S11.
3. Center for Health Care Strategies Inc. Medicaid Accountable Care Organizations: State update. http: //www.chcs.org/resource/medicaid-accountable -care-organizations-state-update/. Accessed August 15, 2016.
4. McConnell KJ, Chang AM, Cohen DJ, et al. Oregon's Medicaid transformation: An innovative approach to holding a health system accountable for spending growth. Healthc (Amst). 2014;2(3): 163-167.
5. Stecker EC. The Oregon ACOexperiment-bold design, challenging execution. N Engl J Med. 2013; 368(11):982-985.
6. Howard SW, Bernell SL, Yoon J, Luck J. Oregon's coordinated care organizations: A promising and practical reform model. J Health Polit Policy Law. 2014;39(4):933-940.
7. Pollack HA. Oregon's coordinated care organizations. J Health Polit Policy Law. 2014;39(4): 929-931.
8. Chang AM, Cohen DJ, McCarty D, Rieckmann T, McConnell KJ. Oregon's Medicaid transformation- observations on organizational structure and strategy. J Health Polit Policy Law. 2015;40(1):257-264.
9. McConnell KJ. Oregon's Medicaid Coordinated Care Organizations. JAMA. 2016;315(9):869-870.
10. Coughlin TA, Corlette S. ACA implementation- monitoring and tracking; Oregon: Site visit report. Urban Institute. http://www.urban.org/UploadedPDF /412498-ACA-Implementation-Monitoring-and -Tracking-Oregon-Site-Visit-Report.pdf. Published 2012. Accessed June 14, 2015.
11. Oregon Health Authority. Oregon's health system transformation: 2014 final report. http: //www.oregon.gov/oha/Metrics/Documents/2014 Final Report-June 2015.pdf. Published June 24, 2015. Accessed November 1, 2015.
12. Colorado Department of Health Care Policy and Financing. Creating a culture of change: Accountable care collaborative, 2014 annual report. https://www .colorado.gov/pacific/sites/default/files/Accountable Care Collaborative 2014 Annual Report.pdf. Accessed March 13, 2016.
13. Lindrooth RC, Tung G, Santos T, O'Leary S; Evaluation of the Accountable Care Collaborative: Year 1 report. https://www.colorado.gov/pacific /sites/default/files/Supporting a Culture of Coverage Accountable Care Collaborative 2014-15 Annual Report.pdf. Accessed August 15, 2016.
14. Chronic Illness and Disability Payment System, Version 5.3. San Diego, CA: University of California; 2011.
15. Stuart EA, Huskamp HA, Duckworth K, et al. Using propensity scores in difference-in-differences models to estimate the effects of a policy change. Health Serv Outcomes ResMethodol. 2014;14(4): 166-182.
16. Centers for Medicare & Medicaid Services. Berenson-Eggers Type of Service. https://www.cms .gov/Research-Statistics-Data-and-Systems /Statistics-Trends-and-Reports /MedicareFeeforSvcPartsAB/downloads /betosdesccodes.pdf. Published 2015. Accessed March 14, 2015.
17. National Committee for Quality Assurance. Technical Specifications for Health Plans, Volume 2. Washington, DC: National Committee for Quality Assurance, HEDIS; 2014.
18. Schwartz AL, Chernew ME, Landon BE, McWilliams JM. Changes in low-value services in year 1 of the Medicare pioneer Accountable Care Organization program. JAMA Intern Med. 2015;175 (11):1815-1825.
19. Medi-Cal Managed Care Division, California Department of Health Care Services. Statewide collaborative quality improvement project: Reducing avoidable emergency room visits. http: //www.dhcs.ca.gov/dataandstats/reports /Documents/MMCD-Qual-Rpts/EQRO-QIPs /CA2011-12-QIP-Coll-ER-Remeasure-Report.pdf. Published June 2012. Accessed February 10, 2015.
20. Agency for Healthcare Research and Quality. Prevention Quality Indicators overview. http://www .qualityindicators.ahrq.gov/modules/pqi-overview .aspx. Accessed February 21, 2105.
21. Joynt KE, Gawande AA, Orav EJ, Jha AK. Contribution of preventable acute care spending to total spending for high-cost Medicare patients. JAMA. 2013;309(24):2572-2578.
22. Austin PC. A critical appraisal of propensity-score matching in the medical literature between 1996 and 2003. Stat Med. 2008;27(12):2037-2049.
23. Austin PC. Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity-score matched samples. Stat Med. 2009;28(25):3083-3107.
24. Ryan AM, Burgess JF Jr, Dimick JB. Why we should not be indifferent to specification choices for difference-in-differences. Health Serv Res. 2015; 50(4):1211-1235.
25. Angrist JD, Pirschke J-S. Mostly Harmless Econometrics: An Empiricist's Companion. Princeton, NJ: Princeton University Press; 2008.
26. The Dartmouth Atlas of Healthcare. Dartmouth Atlas primary care service area data. http://www .dartmouthatlas.org/tools/downloads.aspx?tab=42. Accessed June 10, 2015.
27. Bertrand M, Duflo E, Mullainathan S. How much should we trust differences-in-differences estimates?. Q J Econ. 2004;119(1):249-275.
28. Osborne NH, Nicholas LH, Ryan AM, Thumma JR, Dimick JB. Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. JAMA. 2015;313(5):496-504.
29. The Henry J. Kaiser Family Foundation. Total monthly Medicaid and CHIP enrollment. http://kff .org/health-reform/state-indicator/total-monthly -medicaid-and-chip-enrollment/. Updated 2017. Accessed March 30, 2016.
30. Dale SB, Ghosh A, Peikes DN, et al. Two-year costs and quality in the comprehensive primary care initiative. N Engl J Med. 2016;374(24):2345-2356.
31. Young K, Clemans-Cope L, Lawton E, Holahan J. Medicaid spending growth in the great recession and its aftermath, FY 2007-2012. The Kaiser Foundation. https://kaiserfamilyfoundation.files.wordpress.com /2014/07/8309-03-medicaid-spending-growth-in -the-great-recession-and-its-aftermath-fy-2007-2012 .pdf. Accessed July 11, 2014.
32. Martin AB, Hartman M, Benson J, Catlin A; National Health Expenditure Accounts Team. National health spending in 2014: Faster growth driven by coverage expansion and prescription drug spending. Health Aff (Millwood). 2016;35(1):150-160.