A Comparison of Health Care Expenditures for Medicaid-Insured Children with Autism Spectrum Disorder and Asthma in an Expanding Accountable Care Organization.

Publisher: Springer Country of Publication: United States NLM ID: 7904301 Publication Model: Print Cited Medium: Internet ISSN: 1573-3432 (Electronic) Linking ISSN: 01623257 NLM ISO Abbreviation: J Autism Dev Disord Subsets: MEDLINE

Publication: <2006- >: New York, NY : Springer
Original Publication: New York, Plenum Press.

Health Expenditures*; Accountable Care Organizations/*economics ; Asthma/*economics ; Autism Spectrum Disorder/*economics; Child ; Humans ; Medicaid/economics ; United States ; Value-Based Health Insurance

As value-based care continues to expand, more children with autism spectrum disorder (ASD) will be treated by accountable care organizations (ACOs), provider organizations seeking to improve population health while reducing costs. To inform ACO strategies for children with ASD, this study compared health care expenditures of children insured by a Medicaid managed care organization, empaneled to a safety net ACO, with ASD, asthma, and neither diagnosis. Compared to other study groups, children with ASD were more costly, had lower rates of acute care, and had higher rates of "leaked" care provided by home- and community-based mental health agencies outside of the ACO. These findings highlight the need for unique value-based strategies for children with ASD in a public sector ACO.

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Keywords: Accountable care organization; Autism spectrum disorder; Health care expenditures; Health service utilization; Value-based care

Date Created: 20191215 Date Completed: 20200615 Latest Revision: 20210130

20221213

10.1007/s10803-019-04327-z

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