The Impact of Global Budgets on Pharmaceutical Spending and Utilization
نویسندگان
چکیده
In 2009, Blue Cross Blue Shield of Massachusetts implemented a global budget-based payment system, the Alternative Quality Contract (AQC), in which provider groups assumed accountability for spending. We investigate the impact of global budgets on the utilization of prescription drugs and related expenditures. Our analyses indicate no statistically significant evidence that the AQC reduced the use of drugs. Although the impact may change over time, early evidence suggests that it is premature to conclude that global budget systems may reduce access to medications.
منابع مشابه
The Challenge of Additionality: The Impact of Central Grants for Primary Healthcare on State-Level Spending on Primary Healthcare in India
Background In planning for universal health coverage, many countries have been examining their fiscal decentralization policies with the goal of increasing efficiency and equity via “additionalities.” The concept of “additionality,” when the government of a lower administrative level increases the funding allocated to a particular issue when extra funds are present, is often used in these...
متن کاملChanges in health care spending and quality 4 years into global payment.
BACKGROUND Spending and quality under global budgets remain unknown beyond 2 years. We evaluated spending and quality measures during the first 4 years of the Blue Cross Blue Shield of Massachusetts Alternative Quality Contract (AQC). METHODS We compared spending and quality among enrollees whose physician organizations entered the AQC from 2009 through 2012 with those among persons in contro...
متن کاملImpact of forced migration on the sustainable development of rural territories
This study provides a comprehensive scientific analysis of contemporary problems resulted from the forced migration of the Ukrainian population and its impact on the sustainable development of 47 host communities of Poltava region. By means of cluster analysis 4 clusters of 26 rural territories were identified. They differ in the size of local budgets and the involvement level of forcedly displ...
متن کاملErratum to: Pharmaceutical cost management in an ambulatory setting using a risk adjustment tool
BACKGROUND Pharmaceutical expenditure is undergoing very high growth, and accounts for 30% of overall healthcare expenditure in Spain. In this paper we present a prediction model for primary health care pharmaceutical expenditure based on Clinical Risk Groups (CRG), a system that classifies individuals into mutually exclusive categories and assigns each person to a severity level if s/he has a ...
متن کاملHospital ownership and drug utilization under a global budget: a quantile regression analysis.
BACKGROUND A global budgeting system helps control the growth of healthcare spending by setting expenditure ceilings. However, the hospital global budget implemented in Taiwan in 2002 included a special provision: drug expenditures are reimbursed at face value, while other expenditures are subject to discounting. That gives hospitals, particularly those that are for-profit, an incentive to incr...
متن کامل