Health Care Spending, Utilization, and Quality 8 Years into Global Payment.

ABSTRACT:

Background

Population-based global payment gives health care providers a spending target for the care of a defined group of patients. We examined changes in spending, utilization, and quality through 8 years of the Alternative Quality Contract (AQC) of Blue Cross Blue Shield (BCBS) of Massachusetts, a population-based payment model that includes financial rewards and penalties (two-sided risk).

Methods

Using a difference-in-differences method to analyze data from 2006 through 2016, we compared spending among enrollees whose physician organizations entered the AQC starting in 2009 with spending among privately insured enrollees in control states. We examined quantities of sentinel services using an analogous approach. We then compared process and outcome quality measures with

SUBMITTER: Song Z 

PROVIDER: S-EPMC6733755 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature