Adapting Evaluations of Alternative Payment Models to a Changing Environment.

ABSTRACT:

Objective

To identify the most robust methods for evaluating alternative payment models (APMs) in the emerging health care delivery system environment.

Study design (approach)

We assess the impact of widespread testing of alternative payment models on the ability to find credible comparison groups. We consider the applicability of factorial research designs for assessing the effects of these models.

Principal findings

The widespread adoption of alternative payment models could effectively eliminate the possibility of comparing APM results with a "pure" control or comparison group unaffected by other interventions. In this new environment, factorial experiments have distinct advantages over the single-model experimental or quasi-experimental designs that have been the

SUBMITTER: Grannemann TW 

PROVIDER: S-EPMC5867185 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature