
High-Risk Care Management Impact on Medicaid ACO Utilization and Spending
ByKathryn Corelli, MD,Erin Duralde, MD,Diya Mathur, BA,Mary Price, MA,Nicole M. Benson, MD, MBI,Nishmi Abeyweera, AB,Vicki Fung, PhD,Christine Vogeli, PhD,Katherine H. Schiavoni, MD, MPP,Maryann M. Vienneau, BS,Mallika L. Mendu, MD, MBA,Lindsay Jubelt, MD, MS,Gregg S. Meyer, MD, MSc,John Hsu, MD, MBA, MSCE
In Massachusetts’ largest Medicaid accountable care organization (ACO), high-risk care management significantly reduced spending, emergency department visits, and hospitalizations, demonstrating that targeted strategies can manage health care costs amid budget constraints.