A Medicaid Alternative Payment Model Program In Oregon Led To Reduced Volume Of Imaging Services.

ABSTRACT: The patient-centered medical home model aspires to fundamentally restructure care processes, but a volume-based payment system may hinder such transformations. In 2013 Oregon's Medicaid program changed its reimbursement of traditional primary care services for selected community health centers (CHCs) from a per visit to a per patient rate. Using Oregon claims data, we analyzed the price-weighted volume of care for five service areas: traditional primary care services, including imaging, tests, and procedures; other services provided by CHCs that were carved out from the payment reform; emergency department visits; inpatient services; and other services of non-CHC providers. We further subdivided traditional primary care services using Berenson-Eggers Type of Service categories of care. We

SUBMITTER: Lindner S 

PROVIDER: S-EPMC12427134 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature