ArticleHealth affairs (Project Hope)2017
Oregon's Medicaid Reform And Transition To Global Budgets Were Associated With Reductions In Expenditures.
Article in Health affairs (Project Hope), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed.
- The Effect of An Integrated Accountable Model on Healthcare Utilization During Pregnancy Among Low-Income Women with Comorbid Mental and Physical Conditions: Evidence from Oregon's Coordinated Care Organizations.Maternal and child health journal · 2026Article
- Ongoing Challenges to Integrating Care in Settings That Serve Patients With Serious Mental Illness and Substance Use Disorder.Psychiatric research and clinical practice · 2026Article
- Healthy Lives 5 Axis Scale for individuals with complex health and social needs: assessment of validity and reliability.BMC health services research · 2025Article
- Effect of Medicaid accountable care on preventable emergency department and hospital admissions: rural-urban heterogeneity.Frontiers in health services · 2025Article
- Preventive Primary Care in the Postpartum Year: The Role of Medicaid Delivery System Reform.American journal of preventive medicine · 2024Article
- Medicaid Value-Based Payments and Health Care Use for Patients With Mental Illness.JAMA health forum · 2023Article
- Social Risk Screening and Response Equity: Assessment by Race, Ethnicity, and Language in Community Health Centers.American journal of preventive medicine · 2023Article
- Characteristics of Specialty Mental Health Provider Networks in Oregon Medicaid.Psychiatric services (Washington, D.C.) · 2023Article
- Phantom Networks: Discrepancies Between Reported And Realized Mental Health Care Access In Oregon Medicaid.Health affairs (Project Hope) · 2022Article
- Trazodone Prescribing for Children With Attention Deficit Hyperactivity Disorder on Medicaid in Oregon.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022Article
- Use of behavioral health care in Medicaid managed care carve-out versus carve-in arrangements.Health services research · 2021Article
- A Reduction in Health Care Expenditures Linked to Mental Health Service Use Among Adults With Chronic Physical Conditions.Psychiatric services (Washington, D.C.) · 2021Article
- A Medicaid Alternative Payment Model Program In Oregon Led To Reduced Volume Of Imaging Services.Health affairs (Project Hope) · 2020Article
- Awareness of Payment Reform: a Survey of Patients, Staff, and Providers in Safety Net Primary Care Clinics.Journal of general internal medicine · 2020Article
- Health Care Expenditures Among Adults With Diabetes After Oregon's Medicaid Expansion.Diabetes care · 2020Article
- Access to Primary, Mental Health, and Specialty Care: a Comparison of Medicaid and Commercially Insured Populations in Oregon.Journal of general internal medicine · 2020Article
- Coordinated Care Organizations and mortality among low-income infants in Oregon.Health services research · 2019Article
- Moving from Care Coordination to Care Integration.Journal of general internal medicine · 2019Article
- Health Care Spending, Utilization, and Quality 8 Years into Global Payment.The New England journal of medicine · 2019Article
- Medicaid Accountable Care Organizations in Four States: Implementation and Early Impacts.The Milbank quarterly · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
In 2012 Oregon initiated an ambitious delivery system reform, moving the majority of its Medicaid enrollees into sixteen coordinated care organizations, a type of Medicaid accountable care organization. Using claims data, we assessed measures of access, appropriateness of care, utilization, and expenditures for five service areas (evaluation and management, imaging, procedures, tests, and inpatient facility care), comparing Oregon to the neighboring state of Washington. Overall, the transformation into coordinated care organizations was associated with a 7 percent relative reduction in expenditures across the sum of these services, attributable primarily to reductions in inpatient utilization. The change to coordinated care organizations also demonstrated reductions in avoidable emergency department visits and improvements in some measures of appropriateness of care, but also exhibited reductions in primary care visits, a potential area of concern. Oregon's coordinated care organizations could provide lessons for controlling health care spending for other state Medicaid programs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.