Primary care quality and cost for privately insured patients in and out of US Health Systems: Evidence from four states.

ABSTRACT:

Objective

To characterize physician health system membership in four states between 2012 and 2016 and to compare primary care quality and cost between in-system providers and non-system providers for the commercially insured population.

Data sources

Physician membership in health systems was obtained from a unique longitudinal database on health systems and matched at the provider level to 2014 all-payer claims data from Colorado, Massachusetts, Oregon, and Utah.

Study design

Using an observational study design, we compared physicians in health systems to non-system physicians located in the same state and geography on average cost of care (risk-adjusted using the Johns Hopkins' Adjusted Clinical Grouper), five HEDIS quality measures, one measure of developmental scre

SUBMITTER: Zhou RA 

PROVIDER: S-EPMC7720710 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature