Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management.

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  • Additional Information
    • NAICS/Industry Codes:
      923130 Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
    • Abstract:
      People with mental illness use more health care and have worse outcomes than those without such illnesses. In response to incentives to reduce spending, accountable care organizations (ACOs) may therefore attempt to improve their management of mental illness. We examined changes in mental health spending, utilization, and quality measures associated with ACO contracts in the Medicare Shared Savings Program and Pioneer model for beneficiaries with mental illness, using Medicare claims for the period 2008-13 and difference-in-differences comparisons with local non-ACO providers. Pioneer contracts were associated with lower spending on mental health admissions in the first year of the contract, an effect that was attenuated in the second year. Otherwise, ACO contracts were associated with no changes in mental health spending or readmissions, outpatient follow-up after mental health admissions, rates of depression diagnosis, or mental health status. These results suggest that ACOs have not yet focused on mental illness or have been largely unsuccessful in early efforts to improve their management of it. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Health Affairs is the property of Project HOPE/HEALTH AFFAIRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Assistant professor of psychiatry and healthcare policy, Harvard Medical School, Boston, Massachusetts
      2Professor of health care policy, Harvard Medical School
      3Associate professor of health care policy and medicine, Harvard Medical School
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2015.1669
    • Accession Number:
      116675027
  • Citations
    • ABNT:
      BUSCH, A. B.; HUSKAMP, H. A.; MCWILLIAMS, J. M. Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management. Health Affairs, [s. l.], v. 35, n. 7, p. 1247–1256, 2016. Disponível em: . Acesso em: 26 ago. 2019.
    • AMA:
      Busch AB, Huskamp HA, McWilliams JM. Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management. Health Affairs. 2016;35(7):1247-1256. doi:10.1377/hlthaff.2015.1669.
    • APA:
      Busch, A. B., Huskamp, H. A., & McWilliams, J. M. (2016). Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management. Health Affairs, 35(7), 1247–1256. https://doi.org/10.1377/hlthaff.2015.1669
    • Chicago/Turabian: Author-Date:
      Busch, Alisa B., Haiden A. Huskamp, and J. Michael McWilliams. 2016. “Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management.” Health Affairs 35 (7): 1247–56. doi:10.1377/hlthaff.2015.1669.
    • Harvard:
      Busch, A. B., Huskamp, H. A. and McWilliams, J. M. (2016) ‘Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management’, Health Affairs, 35(7), pp. 1247–1256. doi: 10.1377/hlthaff.2015.1669.
    • Harvard: Australian:
      Busch, AB, Huskamp, HA & McWilliams, JM 2016, ‘Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management’, Health Affairs, vol. 35, no. 7, pp. 1247–1256, viewed 26 August 2019, .
    • MLA:
      Busch, Alisa B., et al. “Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management.” Health Affairs, vol. 35, no. 7, July 2016, pp. 1247–1256. EBSCOhost, doi:10.1377/hlthaff.2015.1669.
    • Chicago/Turabian: Humanities:
      Busch, Alisa B., Haiden A. Huskamp, and J. Michael McWilliams. “Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management.” Health Affairs 35, no. 7 (July 2016): 1247–56. doi:10.1377/hlthaff.2015.1669.
    • Vancouver/ICMJE:
      Busch AB, Huskamp HA, McWilliams JM. Early Efforts By Medicare Accountable Care Organizations Have Limited Effect On Mental Illness Care And Management. Health Affairs [Internet]. 2016 Jul [cited 2019 Aug 26];35(7):1247–56. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=116675027&custid=s8280428