Association Between the Implementation of a Population-Based Primary Care Payment System and Achievement on Quality Measures in Hawaii.

ABSTRACT:

Importance

Hawaii Medical Service Association (HMSA), the Blue Cross Blue Shield of Hawaii, introduced Population-based Payments for Primary Care (3PC), a new capitation-based primary care payment system, in 2016. The effect of this system on quality measures has not been evaluated.

Objective

To evaluate whether the 3PC system was associated with changes in quality, utilization, or spending in its first year.

Design, setting, and participants

Observational study using HMSA claims and clinical registry data from January 1, 2012, to December 31, 2016, and a propensity-weighted difference-in-differences method to compare 77 225 HMSA members in Hawaii attributed to 107 primary care physicians (PCPs) and 4 physician organizations participating in the first wave of the 3PC

SUBMITTER: Navathe AS 

PROVIDER: S-EPMC6613291 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature