Lower- Versus Higher-Income Populations In The Alternative Quality Contract: Improved Quality And Similar Spending.

ABSTRACT: As population-based payment models become increasingly common, it is crucial to understand how such payment models affect health disparities. We evaluated health care quality and spending among enrollees in areas with lower versus higher socioeconomic status in Massachusetts before and after providers entered into the Alternative Quality Contract, a two-sided population-based payment model with substantial incentives tied to quality. We compared changes in process measures, outcome measures, and spending between enrollees in areas with lower and higher socioeconomic status from 2006 to 2012 (outcome measures were measured after the intervention only). Quality improved for all enrollees in the Alternative Quality Contract after their provider organizations entered the contract. Process meas

SUBMITTER: Song Z 

PROVIDER: S-EPMC5805557 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature