Clinic price reductions in a tiered total cost benefit design.

ABSTRACT:

Objectives

To understand responses of primary care clinics to inclusion in a tiered total cost of care insurance benefit design.

Study design

We used a qualitative design beginning with longitudinal analysis of administrative data on consumer clinic choice, clinic tier placement, and clinic actions, followed by in-depth interviews with key informants from clinics, administering health plans, and program administrators.

Methods

We collected data via semistructured interviews with purposively sampled key informants selected from clinics that prospectively reduced prices to move to, or remain in, a tier with lower cost sharing. Data from interview transcripts were coded using qualitative coding software and analyzed for thematic responses.

Results

Our findings sug

SUBMITTER: McDonald T 

PROVIDER: S-EPMC9940713 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature