No surprise - mildly changing financial incentives in a very complex way in an ACO doesn’t give clear signals about what to actually DO or upfront resources to get better outcomes. And how much is even known about what one should do for people with SMI and
Targeted approaches needed for pts with mental illness who are dually eligible
Medicare ACOs for dually eligible beneficiaries with mental illness had minimal impacts on cost+quality - "ACOs that include dually eligible beneficiaries with mental illness should tailor their designs to address the distinct needs of this population." 👏h