Comparison of Estimated Incentives for Preventing Postpartum Depression in Value-Based Payment Models Using the Net Present Value of Care vs Total Cost of Care.

ABSTRACT:

Importance

Strong financial incentives are critical to promoting widespread implementation of interventions that prevent postpartum depression. Value-based payment (VBP) approaches could be adapted to capture longer-term value and offer stronger incentives for postpartum depression prevention by sharing the expected future health care savings estimated by reduced postpartum depression incidence with clinicians.

Objective

To evaluate whether sharing 5-year expected savings estimated by reduced postpartum depression incidence offers stronger incentives for prevention than traditional VBP under a variety of circumstances.

Design, setting, and participants

This decision analytic model used a simulated cohort of 1000 Medicaid-enrolled pregnant individuals. Health care cost

SUBMITTER: Counts NZ 

PROVIDER: S-EPMC9044113 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature