The goal of the study is to inform public and private decision-making about ACOs and other innovative payment models. While empirical evidence about the impact of Medicare innovative payment models like accountable care organizations (ACO)s) has begun to accumulate, their impact on the quality and efficiency of care delivered to non-Medicare patients has not been studied. Using data from the Health Care Cost Institute (HCCI), this project will investigate the spillover effects from Medicare ACOs and assess the influence of Medicare payment innovations on the broader health care system.  In particular, the researchers would examine: (1) changes in expenditures for medical services and health outcomes for Medicare Advantage (MA) and commercially insured patients within Medicare ACOs; (2) differences in expenditures and quality outcomes between Medicare ACO patients and those covered by MA and commercial plans; (3) factors that could influence these spillover effects.   Deliverables will include a project work plan and final narrative report. The researchers will also produce paper(s) suitable for publication and present findings at national research meetings and to other stakeholder audiences as appropriate, including policymakers at the federal, state, and local levels and other key stakeholders, as part of the deliverables for this grant.

Principal Investigators:

Li Jing's headshot

Jing Li, M.D., M.S.

Associate Professor in the Department of Internal Medicine - University of Kentucky

Jing Li, M.D., M.S., is an Associate Professor in the Department of Internal Medicine at the University of Ken... Read Bio

Talbert's headshot

Jeffery Talbert, Ph.D.

Professor of Pharmaceutical Policy - University of Kentucky College of Pharmacy

Jeffery Talbert is the Schutte Professor of Pharmaceutical Policy in the University of Kentucky College of Pha... Read Bio

Grant: #76782
Grantee Institution: University of Kentucky
Grant Period: 9/15/19 – 6/30/21