Comparing ambulatory commercial spending in Rhode Island and Massachusetts, 2016-2019.

ABSTRACT:

Objective

To evaluate trends and drivers of commercial ambulatory spending and price variation.

Data sources and study setting

Commercial claims data from the Massachusetts and Rhode Island All-Payer Claims Databases from 2016 to 2019.

Study design

Observational study of spending in major ambulatory care settings. We calculated per member per year spending, average price, and utilization rates to consider drivers of spending, and constructed site-specific price indices to evaluate price variation.

Data collection/extraction methods

We analyzed commercial claims data from All-Payer Claims Databases in the two states.

Principal findings

Ambulatory spending levels in Massachusetts were 38.0% higher than those in Rhode Island in 2019. Overall utilization rat

SUBMITTER: James HO 

PROVIDER: S-EPMC10622295 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature