Health Care Spending And Use Among People Experiencing Unstable Housing In The Era Of Accountable Care Organizations

• Published in: Health affairs (Millwood, Va.) Vol. 39; no. 2; pp. 214 - 4
• Main Authors: Koh, Katherine A, Racine, Melanie, Gaeta, Jessie M, Goldie, John, Martin, Daniel P, Bock, Barry, Takach, Mary, O'Connell, James J, Song, Zirui
• Format: Journal Article
• Language: English
• Published: United States The People to People Health Foundation, Inc., Project HOPE 01.02.2020
• Subjects: Accountability; Accountable Care Organizations; Adjustment; Age; Alternative approaches; Boston; Correlation analysis; Cost control; Emergency medical care; Emergency medical services; Emergency services; Enrollments; Ethnicity; Government programs; Health care; Health care access; Health care expenditures; Health care policy; Health Expenditures; Health risks; Health services; Homeless people; Homelessness; Housing; Humans; Hypothesis testing; Inpatient care; Massachusetts; Medicaid; Organizations; Outpatient treatment; Population; Populations; Prescription drugs; Primary care; Stability analysis; United States; Vulnerability; United States; Massachusetts; Boston; United States > US; Accountable care organizations; Behavioral health care; Emergency departments; Homeless; Costs and spending; Health policy; Populations; Utilization; Unstable Housing; Health conditions; Medicaid; Access and use

Provider organizations are increasingly held accountable for health care spending in vulnerable populations. Longitudinal data on health care spending and use among people experiencing episodes of homelessness could inform the design of alternative payment models. We used Medicaid claims data to ana...