PMID: 11900098Mar 20, 2002Paper

Cost and quality trends in direct contracting arrangements

Health Affairs
Alan LylesP Drury

Abstract

This paper presents the first empirical analysis of a 1997 initiative of the Buyers Health Care Action Group (BHCAG) known as Choice Plus. This initiative entailed direct contracts with provider-controlled delivery systems; annual care system bidding; public reports of consumer satisfaction and quality; uniform benefits; and risk-adjusted payment. After case-mix adjustment, hospital costs decreased, ambulatory care costs rose modestly, and pharmacy costs increased substantially. Process-oriented quality indicators were stable or improved. The BHCAG employer-to-provider direct contracting and consumer choice model appeared to perform reasonably well in containing costs, without measurable adverse effects on quality.

References

Apr 8, 1995·Journal of Health Economics·D WholeyJ B Christianson
Jan 29, 2000·Health Affairs·J ChristiansonP Drury
Jun 2, 2000·The Milbank Quarterly·R FeldmanJ Schultz
Feb 24, 2001·Health Affairs·C HoganJ R Gabel
Mar 20, 2002·Health Affairs·Jon B Christianson, Roger Feldman

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Citations

Jan 1, 2011·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Holly Korda, Gloria N Eldridge
Mar 25, 2005·The Milbank Quarterly·Jon B Christianson, Roger Feldman
Sep 18, 2004·Medical Care Research and Review : MCRR·Paul A FishmanMichael J Goodman
May 26, 2016·Medical Care Research and Review : MCRR·Andrew M RyanHelen R Burstin
Mar 20, 2002·Health Affairs·Jon B Christianson, Roger Feldman

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