“…12,26,27 Nevertheless, much of the findings seem to suggest that MMC leads to reductions in medical cost, ER visits, fewer inpatient stays, and increased outpatient use. 12,28,29 While the findings of this study suggest that HARPs were associated with a relative increase in outpatient services, a relative reduction in inpatient stays and length of stays, and a relative decline in ER services, it is of note that service use in both groups generally declined in the pre-to post-HARP period comparisons. This may in part be due to the various health care reforms (ACA, DSRIP, CCMP, and MMC) in the health care delivery system which likely led to new and improved services.…”