课题基金 / 基金详情

Effect of Medicaid Accountable Care Organizations on Behavioral Health Care Quality and Outcomes for Children

Effect of Medicaid Accountable Care Organizations on Behavioral Health Care Quality and Outcomes for Children
医疗补助责任护理组织对儿童行为保健质量和结果的影响
批准号:
10729117
负责人:
Kimberley Lynn H Geissler
金额:
$79.78万
依托单位国家:
美国
项目类别:
财政年份:
2023
资助国家:
美国
项目状态:
未结题
起止时间:
2023-09-12 至 2028-06-30
关键词:
18 year oldAccountabilityAddressAdultAffectAgeCOVID-19 pandemicCaringCharacteristicsChildChild CareChild health careChildhoodChronic DiseaseCommunity HealthcareConsultationsContractsDataDatabasesDiagnosisDiagnostic ServicesDiseaseDisparityEnrollmentEvidence based treatmentExposure toFutureGenderHealthHealth InsuranceHealth PersonnelHealth ServicesHealthcareHealthcare SystemsHeterogeneityHigh PrevalenceHospitalsImprove AccessIncentivesInsurance CoverageInterventionInterviewKnowledgeLow incomeMassachusettsMeasuresMedicaidMethodsMinority GroupsNatural experimentOrganizational ModelsOutcomeOwnershipParentsPatientsPhysiciansPolicy MakerPopulationPrevalencePrivatizationProviderPsychiatryQuality IndicatorQuality of CareRaceReportingSelf-Injurious BehaviorSexualitySurveysTelephoneVulnerable Populationsaccountable care organizationacute careadverse childhood eventsagedautism spectrum disorderbehavioral healthbeneficiarycare coordinationcommunity based servicecoronavirus diseaseethnic disparityethnic minority populationexperienceexperimental studyhealth care deliveryhealth care disparityhealth care qualityhealth organizationhigh riskhigh risk populationimprovedinformantinnovationinsurance planlow socioeconomic statusmedical specialtiesmembernovelpediatricianpopulation healthprimary care practiceprimary care providerprimary care settingprogramsracial disparityracial minority populationsatisfactionsocial health determinantssocial stigmasocioeconomic disparitytherapy developmenttreatment services

项目摘要

项目成果

Kimberley Lynn H Geissler的其他基金

相似基金

相关文献

中文摘要
翻译
项目总结
英文摘要
PROJECT SUMMARY One in six children aged 6-17 years had a behavioral health (BH) diagnosis in 2016, with estimates climbing to more than one in four during the COVID-19 pandemic. Limited access to BH services has long presented challenges for most children. Efforts to address the shortcomings of the specialty BH care system, such as integrating BH care into pediatric primary care settings, and state programs that offer telephonic psychiatry consultation to pediatricians, have helped improve care, but immense gaps in care and disparities persist. Accountable care organizations (ACOs) incentivize care integration and population health, which promotes community-health care linkages, care coordination, and interventions to address social determinants of health. The innovative reform introduced by ACOs has the potential to improve BH care delivery, but their impact for pediatric populations is largely unknown. Studies of adult populations suggest that ACOs with certain organizational features (e.g., type of contract) may improve quality of care for chronic diseases but the few studies of the impact of ACOs on quality of care and outcomes for children have not focused on this large, high-risk population of children with BH disorders. This study will be the first to address this critical gap in knowledge by taking advantage of the natural experiment taking place in Massachusetts (MA), a state with a high prevalence of children with BH diagnoses. In 2018, MA, launched 17 new Medicaid ACOs with heterogeneous organizational features (e.g., size; physician vs. hospital-led; age mix. We will leverage MA’s innovative Medicaid ACO ‘experiment’ to address the following aims using mixed methods: 1) Evaluate the impact of ACOs on BH care quality, outcomes, and disparities for Medicaid-insured children; 2) Discern how ACO heterogeneity modifies ACOs’ effects on BH quality and outcomes; 3) Determine the relationship between parent reported experience with their child’s Behavioral Health care and organizational features of the Medicaid ACOs. Fundamental changes in healthcare are needed to address socioeconomic and racial/ethnic disparities in BH care quality and outcomes for children in vulnerable populations. Our innovative mixed methods approach to examining the association between exposure to a new heterogeneous group of Medicaid ACOs and BH care and outcomes uses state-level administrative claims and survey data and key informant interviews with ACO leaders and parents to begin to address this large gap in knowledge. This new information is expected to benefit providers, payers, and policy makers responsible for the care of vulnerable populations of children with BH disorders.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
The Role of Insurance Networks and Organizational Factors in Guideline-Concordant Care for Serious Mental Illness
  • 批准号:
    10468945
  • 项目类别:
  • 资助金额:
    $23.93万
  • 财政年份:
    2021
  • 负责人:
    Kimberley Lynn H Geissler
  • 依托单位:
The Role of Insurance Networks and Organizational Factors in Guideline-Concordant Care for Serious Mental Illness
  • 批准号:
    10306958
  • 项目类别:
  • 资助金额:
    $23.93万
  • 财政年份:
    2021
  • 负责人:
    Kimberley Lynn H Geissler
  • 依托单位:
The Role of Insurance Networks and Organizational Factors in Guideline-Concordant Care for Serious Mental Illness
  • 批准号:
    10662375
  • 项目类别:
  • 资助金额:
    $23.93万
  • 财政年份:
    2021
  • 负责人:
    Kimberley Lynn H Geissler
  • 依托单位:
Changes in Health Care Access and Utilization in the US-Mexico Border Region
  • 批准号:
    8262074
  • 项目类别:
  • 资助金额:
    $4.27万
  • 财政年份:
    2011
  • 负责人:
    Kimberley Lynn H Geissler
  • 依托单位:
海外基金