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Research
The Institute for Accountable Care is involved in a range of ongoing research projects.

In partnership with the West Health Institute we are analyzing telehealth expansion in 2020 to assess how effectively different types of provider organizations deploy telehealth services; what types of beneficiaries receive telehealth services and whether major disparities emerge; how patterns of service vary across regions. This study uses a 100% national sample of 2020 monthly claims data. We will also interview 15 ACOs to develop a snapshot of how organizations are rolling out telehealth and what challenges they have encountered.

In partnership with the American Academy of Home Care Medicine (AAHCM) the Institute is building a national dataset that profiles physician groups that specialize in home-based primary care including detailed characteristics of their patient populations, spending profiles and clinical performance indicators, as well as their participation in accountable care organizations.

The Institute is working with teams from the University of Michigan and the Altarum Institute to monitor the impact of public health interventions to reduce falls among elders across eight communities where we have found wide variations in fall rates. Using our comprehensive, longitudinal Medicare claims data set we have created a national snapshot of fall rates across the country to help providers and policy makers identify fall 'hot spots'.

The Institute is assisting a large ACO in evaluating the impact of a community paramedicine initiative designed to improve care for medically and socially complex patients. This study looks at changes in utilization and spending for ACO beneficiaries receiving community paramedic services compared with matched comparison groups of beneficiaries both within and external to the ACO.

The Institute completed a detailed survey of home-based care and post-acute care initiatives in late 2019 with 170 ACO respondents. The ACOs reported a range of programs including primary care, hospital-level acute care, community paramedic, care transition and community health worker programs with services provided at home. Two-thirds of ACOs reported formal home-based initiatives, informal home-based services or active development of new programs.

In 2018 the Institute conducted a survey examining the risk-contracting across all major payer categories. The survey also examined the major challenges ACOs face in implementing risk contracts. See a summary of findings.

In 2018 the Institute conducted a survey of ACOs to assess the range of initiatives they have put in place to improve care for medically and socially complex beneficiaries. See a summary of findings.



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