Changes in Quality of Life Among Enrollees in Hennepin Health: A Medicaid Expansion ACO

Katherine D. Vickery, Nathan D. Shippee, Laura M. Guzman-Corrales, Cindy Cain, Sarah Turcotte Manser, Tom Walton, Jessica Richards, Mark Linzer

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Despite limited program evaluations of Medicaid accountable care organizations (ACOs), no studies have examined if cost-saving goals negatively affect quality of life and health care experiences of low-income enrollees. The Hennepin Health ACO uses an integrated care model to address the physical, behavioral, and social needs of Medicaid expansion enrollees. As part of a larger evaluation, we conducted semistructured interviews with 35 primary care using Hennepin Health members enrolled for 2 or more years. Using fuzzy set qualitative comparative analysis, we assessed enrollee complexity and use of the care model and improvements in quality of life. We found improved quality of life was consistently associated with strong bonds to primary care, consistent mental health care, and support from extended care team members. Comprehensive, integrated care models within ACOs may improve quality of life for low-income Medicaid enrollees through coordinated primary and mental health care.

Original languageEnglish (US)
Pages (from-to)60-73
Number of pages14
JournalMedical Care Research and Review
Volume77
Issue number1
DOIs
StatePublished - Feb 1 2020

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The Commonwealth Fund, Grant No. 20140726

Keywords

  • Medicaid expansion
  • accountable care
  • behavioral health
  • qualitative research
  • quality of life

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

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