Health Care Spending Slowed After Rhode Island Applied Affordability Standards To Commercial Insurers.

ABSTRACT: States are introducing regulations to slow health care spending growth, but which of these successfully reduce spending growth remains unclear. We studied Rhode Island's 2010 affordability standards, which imposed price controls-particularly inflation caps and diagnosis-based payments-on contracts between commercial insurers and hospitals and clinics and required commercial insurers to increase their spending on primary care and care coordination services. Using a difference-in-differences design, we compared spending among 38,001 commercially insured adults in Rhode Island to that among 38,001 matched adults in other states in the period 2007-16. Relative to quarterly fee-for-service (FFS) spending among the control group, quarterly FFS spending among the Rhode Island group decreased by $

SUBMITTER: Baum A 

PROVIDER: S-EPMC6593124 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature