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The Impact Of Medicare ACOs On Improving Integration And Coordination Of Physical And Behavioral Health Care.
Fullerton, Catherine A; Henke, Rachel M; Crable, Erika L; Hohlbauch, Andriana; Cummings, Nicholas.
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  • Fullerton CA; Catherine A. Fullerton (catherine.fullerton@truvenhealth.com) is a senior research leader in the Center for Behavioral Health Services Research at Truven Health Analytics, an IBM company, in Cambridge, Massachusetts.
  • Henke RM; Rachel M. Henke is director of research in the Center for Behavioral Health Services Research at Truven Health Analytics in Cambridge.
  • Crable EL; Erica Crable is a research analyst II in the Center for Behavioral Health Services Research at Truven Health Analytics in Cambridge.
  • Hohlbauch A; Andriana Hohlbauch is a research leader in the Center for Behavioral Health Services Research at Truven Health Analytics in Santa Barbara, California.
  • Cummings N; Nicholas Cummings is a research analyst II in the Center for Behavioral Health Services Research at Truven Health Analytics in Bethesda, Maryland.
Health Aff (Millwood) ; 35(7): 1257-65, 2016 07 01.
Article en En | MEDLINE | ID: mdl-27385242
The accountable care organization (ACO) model holds the promise of reducing costs and improving the quality of care by realigning payment incentives to focus on health outcomes instead of service volume. One key to managing the total cost of care is improving care coordination for and treatment of people with behavioral health disorders. We examined qualitative data from ninety organizations participating in Medicare ACO demonstration programs from 2012 through 2015 to determine whether and how they focused on behavioral health care. These ACOs had mixed degrees of engagement in improving behavioral health care for their populations. The biggest challenges included a lack of behavioral health care providers, data availability, and sustainable financing models. Nonetheless, we found substantial interest in integrating behavioral health care into primary care across a majority of the ACOs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicare / Evaluación de Resultado en la Atención de Salud / Prestación Integrada de Atención de Salud / Atención a la Salud / Patient Protection and Affordable Care Act / Trastornos Mentales Tipo de estudio: Diagnostic_studies / Observational_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Health Aff (Millwood) Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicare / Evaluación de Resultado en la Atención de Salud / Prestación Integrada de Atención de Salud / Atención a la Salud / Patient Protection and Affordable Care Act / Trastornos Mentales Tipo de estudio: Diagnostic_studies / Observational_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Health Aff (Millwood) Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos