Impactability Modeling for Reducing Medicare Accountable Care Organization Payments and Hospital Events in High-Need High-Cost Patients: Longitudinal Cohort Study.
Maureen A SmithMenggang YuJared D HulingXinyi WangAllie DeLonayJonathan JafferyPublished in: Journal of medical Internet research (2022)
Although there was evidence that a benefit score could be extended to a new case management program for similar (ie, high-risk) patients, there was no evidence that it could be extended to a moderate-risk population. Extending a score to a new program and population should include evaluation of program outcomes within key subgroups. With increased attention on value-based care, policy makers and measure developers should consider ways to incorporate impactability modeling into program design and evaluation.
Keyphrases
- quality improvement
- end stage renal disease
- healthcare
- ejection fraction
- newly diagnosed
- chronic kidney disease
- palliative care
- peritoneal dialysis
- prognostic factors
- emergency department
- mental health
- adipose tissue
- skeletal muscle
- insulin resistance
- pain management
- affordable care act
- cross sectional
- chronic pain
- drug induced