{"id":"https://openalex.org/W4408463525","doi":"https://doi.org/10.1111/1475-6773.14597","title":"Early Effects of Pathways to Success on Utilization in Traditional Medicare","display_name":"Early Effects of Pathways to Success on Utilization in Traditional Medicare","publication_year":2025,"publication_date":"2025-03-13","ids":{"openalex":"https://openalex.org/W4408463525","doi":"https://doi.org/10.1111/1475-6773.14597","pmid":"https://pubmed.ncbi.nlm.nih.gov/40083132"},"language":"en","primary_location":{"id":"doi:10.1111/1475-6773.14597","doi":"https://doi.org/10.1111/1475-6773.14597","is_oa":false,"landing_page_url":"https://doi.org/10.1111/1475-6773.14597","pdf_url":null,"source":{"id":"https://openalex.org/S2228914","display_name":"Health Services Research","issn_l":"0017-9124","issn":["0017-9124","1475-6773"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-3","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medpac.gov/wp-content/uploads/./import_data/scrape_files/docs/default-source/reports/jun18_medpacreporttocongress_rev_nov2019_note_sec.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5067946740","display_name":"Meiling Ying","orcid":"https://orcid.org/0000-0002-3012-9791","observed_orcids":["https://orcid.org/0000-0002-3012-9791"]},"institutions":[{"id":"https://openalex.org/I4210086933","display_name":"NYU Langone Health","ror":"https://ror.org/005dvqh91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210086933"]},{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Meiling Ying","raw_affiliation_strings":["Department of Foundations of Medicine NYU Langone Health  Mineola New York USA","Department of Foundations of Medicine, NYU Langone Health, Mineola, New York, USA"],"raw_orcid":"https://orcid.org/0000-0002-3012-9791","affiliations":[{"raw_affiliation_string":"Department of Foundations of Medicine NYU Langone Health  Mineola New York USA","institution_ids":["https://openalex.org/I4210086933","https://openalex.org/I57206974"]},{"raw_affiliation_string":"Department of Foundations of Medicine, NYU Langone Health, Mineola, New York, USA","institution_ids":["https://openalex.org/I4210086933","https://openalex.org/I57206974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043081183","display_name":"Addison Shay","orcid":"https://orcid.org/0000-0003-1651-317X","observed_orcids":["https://orcid.org/0000-0003-1651-317X"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Addison Shay","raw_affiliation_strings":["Dow Division of Health Services Research, Department of Urology University of Michigan  Ann Arbor Michigan USA","Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dow Division of Health Services Research, Department of Urology University of Michigan  Ann Arbor Michigan USA","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]},{"raw_affiliation_string":"Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091010294","display_name":"John M. Hollingsworth","orcid":"https://orcid.org/0000-0002-3372-9370","observed_orcids":["https://orcid.org/0000-0002-3372-9370"]},"institutions":[{"id":"https://openalex.org/I2800717037","display_name":"University of Florida Health","ror":"https://ror.org/04tk2gy88","country_code":"US","type":"education","lineage":["https://openalex.org/I2800717037","https://openalex.org/I33213144"]},{"id":"https://openalex.org/I33213144","display_name":"University of Florida","ror":"https://ror.org/02y3ad647","country_code":"US","type":"education","lineage":["https://openalex.org/I33213144"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John M. Hollingsworth","raw_affiliation_strings":["Department of Urology University of Florida  Gainesville Florida USA","Department of Urology, University of Florida, Gainesville, Florida, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology University of Florida  Gainesville Florida USA","institution_ids":["https://openalex.org/I2800717037","https://openalex.org/I33213144"]},{"raw_affiliation_string":"Department of Urology, University of Florida, Gainesville, Florida, USA","institution_ids":["https://openalex.org/I2800717037","https://openalex.org/I33213144"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082554505","display_name":"Vahakn B. Shahinian","orcid":"https://orcid.org/0000-0003-3280-7821","observed_orcids":["https://orcid.org/0000-0003-3280-7821"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vahakn B. Shahinian","raw_affiliation_strings":["Dow Division of Health Services Research, Department of Urology University of Michigan  Ann Arbor Michigan USA","Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dow Division of Health Services Research, Department of Urology University of Michigan  Ann Arbor Michigan USA","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]},{"raw_affiliation_string":"Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5000093901","display_name":"Brent K. Hollenbeck","orcid":"https://orcid.org/0000-0003-4840-1260","observed_orcids":["https://orcid.org/0000-0003-4840-1260"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210114445","display_name":"Michigan Medicine","ror":"https://ror.org/01zcpa714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210114445"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brent K. Hollenbeck","raw_affiliation_strings":["Dow Division of Health Services Research, Department of Urology University of Michigan  Ann Arbor Michigan USA","Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dow Division of Health Services Research, Department of Urology University of Michigan  Ann Arbor Michigan USA","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210114445"]},{"raw_affiliation_string":"Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, Michigan, USA","institution_ids":["https://openalex.org/I27837315"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5067946740"],"corresponding_institution_ids":["https://openalex.org/I4210086933","https://openalex.org/I57206974"],"apc_list":{"value":3750,"currency":"USD","value_usd":3750},"apc_paid":null,"fwci":0.942,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.76326414,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"60","issue":"4","first_page":"e14597","last_page":"e14597"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/utilization","display_name":"utilization","score":0.3630000054836273},{"id":"https://openalex.org/keywords/accountable-care-organizations","display_name":"accountable care organizations","score":0.7720000147819519},{"id":"https://openalex.org/keywords/shared-savings-program","display_name":"Shared Savings Program","score":0.8199999928474426},{"id":"https://openalex.org/keywords/inpatient-care","display_name":"inpatient care","score":0.656000018119812},{"id":"https://openalex.org/keywords/fee-for-service-medicare","display_name":"fee-for-service Medicare","score":0.6200000047683716}],"concepts":[{"id":"https://openalex.org/C26869875","wikidata":"https://www.wikidata.org/wiki/Q2596417","display_name":"Beneficiary","level":2,"score":0.8574215173721313},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7742376327514648},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5302721261978149},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4868752062320709},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4793708622455597},{"id":"https://openalex.org/C2775909303","wikidata":"https://www.wikidata.org/wiki/Q3259564","display_name":"Inpatient care","level":3,"score":0.46364015340805054},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3995521664619446},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3383360505104065},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.24089491367340088},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.20221096277236938},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.18692892789840698},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.17147377133369446},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.07020953297615051},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1111/1475-6773.14597","doi":"https://doi.org/10.1111/1475-6773.14597","is_oa":false,"landing_page_url":"https://doi.org/10.1111/1475-6773.14597","pdf_url":null,"source":{"id":"https://openalex.org/S2228914","display_name":"Health Services Research","issn_l":"0017-9124","issn":["0017-9124","1475-6773"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-3","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Services Research","raw_type":"journal-article"},{"id":"pmid:40083132","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40083132","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health services research","raw_type":"Journal Article"},{"id":"pmh:oai:deepblue.lib.umich.edu:2027.42/198894","doi":null,"is_oa":true,"landing_page_url":"https://www.medpac.gov/document/http-www-medpac-gov-docs-default-source-reports-jun18_medpacreporttocongress_rev_nov2019_note_sec-pdf/.","pdf_url":"https://www.medpac.gov/wp-content/uploads/./import_data/scrape_files/docs/default-source/reports/jun18_medpacreporttocongress_rev_nov2019_note_sec.pdf","source":{"id":"https://openalex.org/S4306400393","display_name":"Deep Blue (University of Michigan)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I27837315","host_organization_name":"University of Michigan","host_organization_lineage":["https://openalex.org/I27837315"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12277103","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12277103/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Serv Res","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:deepblue.lib.umich.edu:2027.42/198894","doi":null,"is_oa":true,"landing_page_url":"https://www.medpac.gov/document/http-www-medpac-gov-docs-default-source-reports-jun18_medpacreporttocongress_rev_nov2019_note_sec-pdf/.","pdf_url":"https://www.medpac.gov/wp-content/uploads/./import_data/scrape_files/docs/default-source/reports/jun18_medpacreporttocongress_rev_nov2019_note_sec.pdf","source":{"id":"https://openalex.org/S4306400393","display_name":"Deep Blue (University of Michigan)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I27837315","host_organization_name":"University of Michigan","host_organization_lineage":["https://openalex.org/I27837315"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G3355774369","display_name":"Accelerating the Shift to Downside Risk in Medicare Accountable Care Organizations: Effects on Clinical Quality and Costs among Older Patients","funder_award_id":"7r01ag068074-07","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G937910232","display_name":null,"funder_award_id":"AG068074","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320306085","display_name":"U.S. Department of Health and Human Services","ror":"https://ror.org/033jnv181"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4408463525.pdf","grobid_xml":"https://content.openalex.org/works/W4408463525.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W1499796422","https://openalex.org/W2342138959","https://openalex.org/W2569572485","https://openalex.org/W2890643981","https://openalex.org/W2953927607","https://openalex.org/W3010621166","https://openalex.org/W3045208661","https://openalex.org/W3129114222","https://openalex.org/W4245749156","https://openalex.org/W4310131473","https://openalex.org/W4367596924","https://openalex.org/W4390605918","https://openalex.org/W6888741290","https://openalex.org/W6903221018","https://openalex.org/W6921829790"],"related_works":["https://openalex.org/W2498172402","https://openalex.org/W2961132505","https://openalex.org/W3125209538","https://openalex.org/W4285227254","https://openalex.org/W2146563264","https://openalex.org/W4220935627","https://openalex.org/W4402518971","https://openalex.org/W3016381371","https://openalex.org/W3006422665","https://openalex.org/W3025263424"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"evaluate":[2],"the":[3,142,205,259],"early":[4],"effects":[5],"of":[6,34,95,119,207,258],"Pathways":[7,79,127,150,155,162,167],"to":[8,80,126,152,164,181,224],"Success":[9,81],"implementation":[10,82,151,163],"on":[11,83],"utilization,":[12,43,242],"as":[13,44,243],"measured":[14,45,244],"by":[15,46,62,145,199,245,248,267,277],"quarterly":[16,48,58,132,171,211],"price-standardized":[17,246],"Medicare":[18,36,97,109],"spending":[19,51,61,133,172,212,273],"per":[20,52,173,213],"beneficiary.":[21,53],"STUDY":[22],"SETTING":[23],"AND":[24,89],"DESIGN:":[25],"This":[26,194,263],"study":[27,143],"was":[28,41,196,265],"a":[29,200,268],"nationwide":[30],"retrospective":[31],"cohort":[32],"analysis":[33],"Traditional":[35,108],"beneficiaries.":[37],"The":[38,74],"primary":[39,75],"outcome":[40],"overall":[42],"adjusted":[47,57],"price":[49,59],"standardized":[50,60],"Secondary":[54],"outcomes":[55],"included":[56],"component":[63],"type":[64],"(inpatient,":[65],"outpatient":[66],"institutional,":[67],"Part":[68],"B,":[69],"and":[70,117,138,157],"skilled":[71],"nursing":[72],"facility).":[73],"independent":[76],"variable":[77],"is":[78],"July":[84],"1,":[85,101],"2019.":[86],"DATA":[87],"SOURCES":[88],"ANALYTIC":[90],"SAMPLE:":[91],"A":[92],"20%":[93],"sample":[94],"national":[96],"data":[98],"from":[99],"January":[100],"2018,":[102],"through":[103],"March":[104],"31,":[105],"2020,":[106],"includes":[107],"beneficiaries":[110],"managed":[111,256],"in":[112,136,178,190,204,221,233,241,272],"ACOs":[113,120,137,179,191,222,234,249],"(n":[114],"=":[115,123],"1,368,523)":[116],"outside":[118,257],"(\"controls,\"":[121],"n":[122],"1,476,982)":[124],"prior":[125],"implementation.":[128],"PRINCIPAL":[129],"FINDINGS:":[130],"Unadjusted":[131],"among":[134],"those":[135,255],"controls":[139,182,225],"decreased":[140,175,218],"over":[141],"period":[144],"$13.5":[146],"(from":[147,159],"$2614.8":[148],"before":[149,161],"$2601.3":[153],"after":[154,166],"implementation)":[156],"$89.8":[158],"$2723.1":[160],"$2633.3":[165],"implementation),":[168],"respectively.":[169],"Adjusted":[170,210],"beneficiary":[174,214],"more":[176,201,219,269],"slowly":[177,220],"compared":[180,223],"(differences-in-differences":[183,226],"estimate":[184,227],"+$46.8":[185],"(95%":[186],"CI":[187,230],"$19.2,":[188],"$74.4)":[189],"vs.":[192,235],"controls).":[193,236],"difference":[195],"largely":[197],"driven":[198,266],"rapid":[202,270],"decrease":[203,271],"utilization":[206],"inpatient":[208,216,275],"care.":[209],"for":[215,254,274],"care":[217,276],"+$43.6":[228],"[95%":[229],"$27.2,":[231],"$60.0]":[232],"CONCLUSIONS:":[237],"After":[238],"Pathways,":[239],"reductions":[240],"spending,":[247],"occurred":[250],"less":[251],"rapidly":[252],"than":[253],"Shared":[260],"Savings":[261],"Program.":[262],"effect":[264],"nonparticipants.":[278]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-10T00:00:00"}