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Changes in care delivery patterns represent one mechanism for reducing medical spending growth while preserving or improving quality. For example, many visits to the Emergency Department (ED) are for conditions that could be addressed in lower-cost outpatient clinics, or could be avoided altogether with better outpatient access. Using 2009–14 Medicare claims for a large Pioneer Accountable Care Organization (ACO), we examined whether ACO entry or intensive care management receipt was associated with Medicare beneficiary ED visit rates.Beneficiaries could join the ACO between 2012-14 (Pioneer contract years); we focused on the first two cohorts of entrants (entry in 2012 or 2013) to allow …

ISQUA16-2413THE IMPACT OF NEW PAYMENT MODELS ON CARE DELIVERY: REDUCTIONS IN EMERGENCY CARE USE AMONG BENEFICIARIES IN A MEDICARE PIONEER ACO