Exploring Patient Spending in an ACO-Sponsored Care Management Program: A Case Study

AJMC September 8, 2023
Aubri E. Rote, PhD, Jennifer Perloff, PhD, Amy Lanou, PhD, Katie Bartholomew, MSN, Amy Russell, MD

The authors’ multidisciplinary care management program shows promise, as the reduction in per-patient per-month spending was $116. However, these financial benefits took time to materialize.

ABSTRACT

Objectives: This case study was designed to examine patient spending before and after participation in an accountable care organization care management program.

Study Design: Interrupted time series cohort case study.

Methods: Data include 2 years of the care management program, 2017-2018, and 2692 Medicare beneficiaries. Patients in this group were compared with 2 matched comparison groups derived from fee-for-service beneficiaries. The care management program includes a medical model of care coordination while also embedding a process to screen for and address social determinants of health. The care management team includes registered nurse care coordinators,...

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