TY - JOUR
KW - accountable care
KW - behavioral health
KW - Medicaid expansion
KW - Qualitative Research
KW - Quality of Life
AU - K. D. Vickery
AU - N. D. Shippee
AU - L. M. Guzman-Corrales
AU - C. Cain
AU - Turcotte Manser
AU - T. Walton
AU - J. Richards
AU - M. Linzer
A1 - 
AB - Despite limited program evaluations of Medicaid accountable care organizations (ACOs), no studies have examined if cost-saving goals negatively affect quality of life and health care experiences of low-income enrollees. The Hennepin Health ACO uses an integrated care model to address the physical, behavioral, and social needs of Medicaid expansion enrollees. As part of a larger evaluation, we conducted semistructured interviews with 35 primary care using Hennepin Health members enrolled for 2 or more years. Using fuzzy set qualitative comparative analysis, we assessed enrollee complexity and use of the care model and improvements in quality of life. We found improved quality of life was consistently associated with strong bonds to primary care, consistent mental health care, and support from extended care team members. Comprehensive, integrated care models within ACOs may improve quality of life for low-income Medicaid enrollees through coordinated primary and mental health care.
BT - Medical care research and review : MCRR
C5 - Financing & Sustainability; Healthcare Disparities; Healthcare Policy
CY - United States
DO - 10.1177/1077558718769457
JF - Medical care research and review : MCRR
N2 - Despite limited program evaluations of Medicaid accountable care organizations (ACOs), no studies have examined if cost-saving goals negatively affect quality of life and health care experiences of low-income enrollees. The Hennepin Health ACO uses an integrated care model to address the physical, behavioral, and social needs of Medicaid expansion enrollees. As part of a larger evaluation, we conducted semistructured interviews with 35 primary care using Hennepin Health members enrolled for 2 or more years. Using fuzzy set qualitative comparative analysis, we assessed enrollee complexity and use of the care model and improvements in quality of life. We found improved quality of life was consistently associated with strong bonds to primary care, consistent mental health care, and support from extended care team members. Comprehensive, integrated care models within ACOs may improve quality of life for low-income Medicaid enrollees through coordinated primary and mental health care.
PP - United States
PY - 2018
SN - 1552-6801; 1077-5587
SP - 1077558718769457
T1 - Changes in Quality of Life Among Enrollees in Hennepin Health: A Medicaid Expansion ACO
T2 - Medical care research and review : MCRR
TI - Changes in Quality of Life Among Enrollees in Hennepin Health: A Medicaid Expansion ACO
U1 - Financing & Sustainability; Healthcare Disparities; Healthcare Policy
U2 - 29749288
U3 - 10.1177/1077558718769457
VO - 1552-6801; 1077-5587
Y1 - 2018
ER -