Utilization, Steering, and Spending in Vertical Relationships Between Physicians and Health Systems.

ABSTRACT:

Importance

Vertical relationships (eg, ownership or affiliations, including joint contracting) between physicians and health systems are increasing in the US.

Objective

To analyze how vertical relationships between primary care physicians (PCPs) and large health systems are associated with changes in ambulatory and acute care utilization, referral patterns, readmissions, and total medical spending for commercially insured individuals.

Design, setting, and participants

This case-control study with a repeated cross-section, stacked event design analyzed outcomes of patients whose attributed PCP entered a vertical relationship with a large health care system in 2015 or 2017 compared with patients whose attributed PCP was either never or always in a vertical relationship

SUBMITTER: Sinaiko AD 

PROVIDER: S-EPMC10474555 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature