Lessons Learned from the Transition from Volume to Value
Describes factors that support health care organizations in transitioning from volume- to value-based payment.
Peer-Reviewed Article
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Association of Medicare Advantage Penetration with Per Capita Spending, Emergency Department Visits, and Readmission Rates Among Fee-for-Service Medicare Beneficiaries with High Comorbidity Burden
Growth in Medicare Advantage plans linked to decreased cost and utilization for high-need, high-cost fee-for-service Medicare beneficiaries with multiple chronic conditions.
Peer-Reviewed Article
Serving People with Severe Mental Illness who are Dually Eligible for Medicare and Medicaid
Examines promising strategies to meet the needs of dually eligible individuals with serious mental illness, with an emphasis on opportunities to innovate with flexible spending within a capitated payment model.
Peer-Reviewed Article
Health Care Spending and Use Among People Experiencing Unstable Housing in the Era of Accountable Care Organizations
Individuals experiencing homelessness had health care spending 2.5 times higher than the comparison Medicaid population.
Peer-Reviewed Article
ACO Serious Illness Care: Survey and Case Studies Depict Current Challenges and Future Opportunities
How ACOs are addressing serious illness.
Peer-Reviewed Article
‘Eyes in The Home’: ACOs Use Home Visits to Improve Care Management, Identify Needs, And Reduce Hospital Use
How home visits are used by ACOs to improve care, lower costs.
Peer-Reviewed Article
The Role of Social, Cognitive, and Functional Risk Factors in Medicare Spending for Dual and Nondual Enrollees
Details how dually enrolled beneficiaries have significantly higher levels of comorbidities and higher costs of care than their non-dually enrolled counterparts.
Peer-Reviewed Article
Effects of Integrating Care for Medicare-Medicaid Dually Eligible Seniors in Minnesota
Examines the potential for Minnesota’s integrated care model to lower use of hospital care and increase use of primary care and community-based services for dually eligible older adults.
Peer-Reviewed Article
Comparing Care for Dual-Eligibles across Coverage Models: Empirical Evidence from Oregon
Explores different characteristics of dually eligible individuals that have different coverage types, as well as the impact of aligned Medicare and Medicaid benefits to improve quality of care and utilization outcomes.
Peer-Reviewed Article
Bending the Spending Curve: The Role of Care Management in a Pioneer ACO
ACOs have lowered costs for high-need patients through care management programs focused on modifiable spending.
Peer-Reviewed Article