Changes in Health Care Use Associated With the Introduction of Hospital Global Budgets in Maryland.

ABSTRACT: Importance:In 2014, the State of Maryland placed the majority of its hospitals under all-payer global budgets for inpatient, hospital outpatient, and emergency department care. Goals of the program included reducing unnecessary hospital utilization and encouraging greater use of primary care. Objective:To compare changes in hospital and primary care use through the first 2 years of Maryland's hospital global budget program among fee-for-service Medicare beneficiaries in Maryland vs matched control areas. Design, Setting, and Participants:We matched 8 Maryland counties (94 967 beneficiaries) with hospitals in the program to 27 non-Maryland control counties (206 389 beneficiaries). Using difference-in-differences analysis, we compared changes in hospital and primary care use in Maryland vs t

SUBMITTER: Roberts ET 

PROVIDER: S-EPMC5838791 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature