دورية أكاديمية
أعرض في EDS

Evaluating A Nonemergency Medical Transportation Benefit For Accountable Care Organization Members.

التفاصيل البيبلوغرافية
العنوان: Evaluating A Nonemergency Medical Transportation Benefit For Accountable Care Organization Members.
المؤلفون: Berkowitz SA; Seth A. Berkowitz (seth_berkowitz@med.unc.edu), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina., Ricks KB; Katharine Ball Ricks, University of North Carolina at Chapel Hill., Wang J; Jingyan Wang, UNC Health Care System, Morrisville, North Carolina., Parker M; Morgan Parker, University of North Carolina at Chapel Hill., Rimal R; Ram Rimal, UNC Health Care System., DeWalt DA; Darren A. DeWalt, University of North Carolina at Chapel Hill.
المصدر: Health affairs (Project Hope) [Health Aff (Millwood)] 2022 Mar; Vol. 41 (3), pp. 406-413.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Project Hope Country of Publication: United States NLM ID: 8303128 Publication Model: Print Cited Medium: Internet ISSN: 1544-5208 (Electronic) Linking ISSN: 02782715 NLM ISO Abbreviation: Health Aff (Millwood) Subsets: MEDLINE
أسماء مطبوعة: Publication: : Bethesda, MD : Project Hope
Original Publication: Millwood, Va. : Project Hope, c1981-
مواضيع طبية MeSH: Accountable Care Organizations*, Aged ; Hospitalization ; Humans ; Medicare ; United States
مستخلص: Nonemergency medical transportation benefits, often using smartphone application-based ridesharing services, are increasingly being offered as part of population health management programs. However, the impact of these programs on health care use and costs remains understudied. We conducted a mixed-methods evaluation of a nonemergency medical transportation benefit offered to members of a Medicare accountable care organization (ACO) within a large academic health system, the UNC Health Alliance ACO. Participation in the transportation program was associated with a greater number of per person per year outpatient visits (9.2) and higher outpatient spending ($4,420) than in a comparison group. However, there was no difference in inpatient admissions or emergency department visits, and the program was not cost saving. Qualitative analyses revealed that participants were highly satisfied with the program, reporting that it eased financial burdens and made them feel safer, more empowered, and better able to take control of their health. These findings suggest that although transportation programs are commonly introduced as ways to contain health care spending, it may be better to think of them as programs to improve health care access for people facing difficult circumstances.
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معلومات مُعتمدة: K23 DK109200 United States DK NIDDK NIH HHS; P30 DK092926 United States DK NIDDK NIH HHS
تواريخ الأحداث: Date Created: 20220307 Date Completed: 20220404 Latest Revision: 20230302
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9400526
DOI: 10.1377/hlthaff.2021.00449
PMID: 35254938
قاعدة البيانات: MEDLINE
الوصف
تدمد:1544-5208
DOI:10.1377/hlthaff.2021.00449