End-of-Life Care and Health Care Spending for Medicare Beneficiaries With Dementia in Accountable Care Organizations
Using nationally representative data on beneficiaries with dementia at EOL, this quasi-experimental study found no evidence that EOL care processes, outcomes, or spending changed with ACO entry for Medicare fee-for-service beneficiaries vs non-ACO beneficiaries. Alternative payment models to ACOs may be needed to coordinate high-quality care with lower spending for beneficiaries with dementia at the EOL.
Authors
- Ryo Ikesu (ORCID: https://orcid.org/0000-0002-9967-8967)
- David S. Zingmond
- Anne M. Walling (ORCID: https://orcid.org/0000-0001-6026-3249)
- David B. Reuben (ORCID: https://orcid.org/0000-0002-1363-4745)
- Jessica Zhang (ORCID: https://orcid.org/0000-0002-4801-6509)
- Alexandra M. Klomhaus (ORCID: https://orcid.org/0000-0002-7676-3595)
- Yusuke Tsugawa (ORCID: https://orcid.org/0000-0002-1937-4833)
- Hiroshi Gotanda (ORCID: https://orcid.org/0000-0003-4238-0171)
- Cheryl L. Damberg (ORCID: https://orcid.org/0000-0001-8169-9420)
- Neil S. Wenger (ORCID: https://orcid.org/0000-0002-9884-3967)
- Haiyong Xu
- Gillian S. Kaneshiro
Institutions
- QB3 (US)
- Cedars-Sinai Medical Center (US)
- RAND Corporation (US)
- University of California, Los Angeles (US)
- VA Greater Los Angeles Healthcare System (US)
Publication Details
- Journal
- JAMA Health Forum
- Published
- 2025-05-09
- DOI
- https://doi.org/10.1001/jamahealthforum.2025.0731
- Citations
- 1
- Primary Topic
- Palliative Care and End-of-Life Issues
- Type
- article
- Field-Weighted Citation Impact
- 1.88
Funders
- National Institutes of Health