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The Effects of Accountable Care Organizations on Pediatric Asthma Care and Outcomes

An NIH-funded project led by Dr. Sarah L. Goff at the University of Massachusetts-Amherst in collaboration with colleagues at UMass, the University of Massachusetts Medical School and the University of Illinois-Chicago

Study Years: 2021-2026

Asthma is the most common chronic disease in childhood and a leading cause of preventable emergency room visits, hospitalizations, school absences, and lost parental workdays. Traditional fee-for-service payment models do not support scaling up of multi-level interventions (healthcare, school, and home) that take into account and address the complex, socially determined conditions that exacerbate asthma and drive racial and ethnic disparities in asthma outcomes.

In 2018, Massachusetts launched 17 new Medicaid Accountable Care Organizations (ACOs) with the goal of incentivizing coordinated care across groups of doctors,

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hospitals, and other healthcare providers treating patients utilizing Medicaid. Our study takes advantage of this "natural experiment" unfolding in MA by studying the effect of these ACOs on pediatric asthma care and outcomes. 

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We are using a mixed methods approach to explore this topic. Using quantitative methods, we will measure changes in quality indicators before and after ACO implementation, with a focus on how the ACOs have influenced health outcomes for those who are Medicaid-insured. We will also develop a taxonomy of ACO organizational structures using surveys and qualitative methods (interviews and site visits).

Core Group

 Advisory Board

Sylvia Brandt, University of Massachusetts-Amherst

Bio coming soon

Stacey Chacker, Health Resources in Action

Bio coming soon

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Sarita Hudson, Public Health Institute of Western Massachusetts

Sarita Hudson is Director of Programs & Development at the Public Health Institute of Western Massachusetts. With over 25 years of experience managing programs, developing coalitions, and building community capacity, Sarita currently directs the Pioneer Valley Asthma Coalition, the Springfield Healthy Homes Collaborative, and the 413Cares online community resource database initiative. Sarita is also a member of the Steering Committee of the Massachusetts Asthma Action Partnership and the board of Massachusetts Public Health Association. She was awarded the 2020 Partners Asthma Center Asthma Achievement Award and under her leadership, the Pioneer Valley Asthma Coalition was awarded the 2019 EPA Region 1 Environmental Merit Award for Children’s Health. 

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Bridgette Jones, MD MS, University of Missouri-Kansas City School of Medicine

Bridgette L. Jones, MD MS holds a faculty appointment as Associate Professor of Pediatrics at the University of Missouri-Kansas City School of Medicine in the divisions of Allergy/Asthma/Immunology and Pediatric Clinical Pharmacology, Toxicology and Therapeutic Innovation and at Children’s Mercy. She is a clinician scientist with a focus in therapeutics and interventions to improve the lives of children with asthma. She holds funding thru the National Institutes of Health and has also received other extramural and intramural resources to support her work. She is the former medical director of the Children’s Mercy Office of Equity and Diversity where she started the Children’s Mercy Students Training in Academic Research (STAR 2.0) program that she continues to lead. She is the Assistant Academic Dean of Student Affairs at the University of Missouri-Kansas City School of Medicine. Nationally, Dr. Jones currently serves as Chair of the American Academy of Pediatrics Committee on Drugs and the immediate past chair of the American Academy of Allergy Asthma Immunology’s Asthma Cough Diagnosis and Treatment Committee. In addition, she serves as a member of the Food and Drug Administration Pediatric Advisory Committee and was appointed by the United States Secretary of Health to serve on the National Institutes of Health Task Force on Research Specific to Pregnant Women and Lactating Women. She is wife to Rafiq and mother to Lola and Nora. 

Carmen Pagan, Revitalize Community Development Corporation

Bio coming soon

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Matthew Sadof, University of Massachusetts Chan Medical School - Baystate

Matthew Sadof is a Professor of Pediatrics at the UMass Chan Medical School – Baystate. For over 18 years, Matthew has been involved in clinical practice, research, and coalition building, mostly based in Springfield, MA, to improve care coordination for pediatric patients. He founded the Medical Home program for Children with Special Health Care Needs at Baystate Children’s Hospital, and launched the Pioneer Valley Asthma Coalition and the Special Needs Children of Western MA Workgroup. Matthew's focus has been to improve the ways health care institutions can collaborate and partner with families and communities. He has published over 20 peer-reviewed articles on the subjects of asthma, care coordination, and more. 

Jacqueline Spain, Health New England and BeHealthy Partnership

Jacqueline Spain is Medical Director for Medicaid for Health New England and co-Medical Director for the BeHealthy Partnership, a MassHealth ACO/MCO partnership.. She received her MD from Harvard Medical School and has completed a residency in pediatrics at Boston Children’s Hospital.  Her clinical career was entirely in community health centers.  Her interest is in driving and facilitating practice transformation with the help of alternative payment methodologies.

Michelle Warner, MA Department of Public Health

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