Spending Changes After Moving to Areas With Greater ACO Participation Among Nonattributed Medicare Beneficiaries
This study provided novel evidence of market-level ACO spillovers to non-ACO-attributed Medicare beneficiaries. Although no substantial ACO spillovers in total acute care spending occurred, the substitution in spending on outpatient facility and physician services suggested that outpatient care may shift away from higher-cost facility settings for all Medicare beneficiaries in markets with greater ACO penetration.
Authors
- Valerie A. Lewis (ORCID: https://orcid.org/0000-0003-1896-1240)
- Marisa Elena Domino (ORCID: https://orcid.org/0000-0003-4845-6261)
- Kevin Callison (ORCID: https://orcid.org/0000-0003-4181-7407)
- Yucheng Hou (ORCID: https://orcid.org/0000-0002-7727-0143)
- Justin G. Trogdon (ORCID: https://orcid.org/0000-0001-5484-7870)
- Qing Gong (ORCID: https://orcid.org/0000-0001-5684-8367)
Institutions
- University of North Carolina at Chapel Hill (US)
- Tulane University (US)
- Murphy Oil Corporation (United States) (US)
- Arizona State University (US)
- The University of Texas Health Science Center at Houston (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-02-20
- DOI
- https://doi.org/10.1001/jamanetworkopen.2024.58311
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- W.K. Kellogg Foundation
- Louisiana Department of Health
- University of North Carolina at Chapel Hill
- National Cancer Institute
- Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill
- School of Medicine, University of North Carolina at Chapel Hill