State Spending Growth Benchmarks and Hospital Revenue, Hospital Prices, and Premiums.

ABSTRACT:

Importance

Since 2013, 9 states have implemented health care spending growth benchmarks. States track performance against these benchmarks, and some states can penalize noncompliance. While subsequent growth has frequently exceeded the benchmark, the approach could slow growth relative to what would have happened without benchmark implementation.

Objective

To assess the association between spending growth benchmarks and spending outcomes.

Design, setting, and participants

This population-based case-control study used event study models that compare hospitals and counties in states with benchmarks with entropy-balanced comparators in nonimplementing states from January 1, 2015, to December 31, 2025.

Exposures

Implementation of state spending growth benchmarks in

SUBMITTER: Eibner C 

PROVIDER: S-EPMC12924095 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature