Medicaid Accountable Care Organization Implementation and Perinatal Claims Documentation of Social Risk Factors
In this cross-sectional study of Medicaid-enrolled live births in Massachusetts, ACO implementation was associated with increased claims documentation of Z codes during the perinatal period, driven by increases in the prenatal period. While Z code documentation remains low, implementation of care delivery models that incentivize screening and documentation of social risk factors among Medicaid enrollees may help to identify the care needs of pregnant and postpartum people.
Authors
- Kathryn D. Thompson (ORCID: https://orcid.org/0000-0002-7450-3837)
- Megan B. Cole (ORCID: https://orcid.org/0000-0001-8731-4210)
- Collette N. Ncube (ORCID: https://orcid.org/0000-0002-0661-9926)
- Sarah H. Gordon (ORCID: https://orcid.org/0000-0003-4743-2014)
- Kevin H. Nguyen (ORCID: https://orcid.org/0000-0001-7417-6322)
- Kenneth Lim (ORCID: https://orcid.org/0009-0000-9687-5634)
Institutions
- Boston University (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-04-21
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.5999
- Citations
- 1
- Primary Topic
- Food Security and Health in Diverse Populations
- Type
- article
- Field-Weighted Citation Impact
- 2.82
Funders
- U.S. Department of Health and Human Services
- Commonwealth Fund
- National Institutes of Health
- National Institute of Mental Health
- National Institute of Child Health and Human Development
- National Institute on Minority Health and Health Disparities