Featured Research

from universities, journals, and other organizations

New quality, payment initiative positively impacts pediatric care

Date:
December 23, 2013
Source:
Boston Children's Hospital
Summary:
Within two years of implementation, Blue Cross Blue Shield of Massachusetts' Alternative Quality Contract -- a contracting model, based on global payment and pay-for-performance -- had a small but significant positive effect on the quality of pediatric care, according to a new study.

Within two years of implementation, Blue Cross Blue Shield of Massachusetts' Alternative Quality Contract (AQC) had a small but significant positive effect on the quality of pediatric care, according to a new study from Boston Children's Hospital. The results were published online Dec. 23 in Pediatrics.

To stem the continued growth in health care spending, Blue Cross Blue Shield of Massachusetts -- the state's largest commercial payer -- implemented an AQC in 2009. A prototypical arrangement, the AQC offers providers a baseline budget to cover the continuum of care, while also awarding pay-for-performance bonuses for improved care quality metrics. This AQC was unique for including pediatric quality measures in its contract.

"Because the size and spending levels of the adult population are so much greater than for kids, how large health care contracts affect pediatric patients is often treated as an afterthought," says the study's lead author Alyna Chien, MD, from Boston Children's Division of General Pediatrics. "But children, especially those with chronic or severe medical conditions, can contribute significantly to health care costs. If spending is to be contained, it's important to understand the impact of the AQC on children as well as adults."

Researchers compared the quality and cost of care provided to 126,975 cases within the AQC structure against 415,331 similar patients who were not in the AQC, across a study period from 2006 to 2010. Quality measures tied to pay-for-performance rates of preventive/screening care and acute care were analyzed, as was care of asthma and attention deficit disorder, which were not directly tied to bonuses.

"We examined whether the AQC affected asthma and ADHD care in an unintended fashion, since they are the two most common chronic conditions of childhood," says Chien. "A better understanding of the effect of the AQC on their care and cost could provide much needed insight into how similar pediatric physical or behavioral health conditions are affected."

After analyzing and aggregating all data, the researchers found the AQC had a small yet significant positive effect on preventive and acute care quality when tied to pay-for-performance models. Children with chronic illness experienced higher quality gains (up 1.8 percent) than children without chronic illness (up 1.2 percent). The AQC had no effect on quality measures not tied to the pay-for-performance model, nor did it have an effect on reducing overall health care costs for children.

"The fact that the quality of preventive and acute care improved under the AQC is encouraging," Chien says. "Lowering costs likely requires more in-depth tracking, effort and experience."


Story Source:

The above story is based on materials provided by Boston Children's Hospital. Note: Materials may be edited for content and length.


Journal Reference:

  1. A. T. Chien, Z. Song, M. E. Chernew, B. E. Landon, B. J. McNeil, D. G. Safran, M. A. Schuster. Two-Year Impact of the Alternative Quality Contract on Pediatric Health Care Quality and Spending. PEDIATRICS, 2013; 133 (1): 96 DOI: 10.1542/peds.2012-3440

Cite This Page:

Boston Children's Hospital. "New quality, payment initiative positively impacts pediatric care." ScienceDaily. ScienceDaily, 23 December 2013. <www.sciencedaily.com/releases/2013/12/131223083919.htm>.
Boston Children's Hospital. (2013, December 23). New quality, payment initiative positively impacts pediatric care. ScienceDaily. Retrieved October 22, 2014 from www.sciencedaily.com/releases/2013/12/131223083919.htm
Boston Children's Hospital. "New quality, payment initiative positively impacts pediatric care." ScienceDaily. www.sciencedaily.com/releases/2013/12/131223083919.htm (accessed October 22, 2014).

Share This



More Health & Medicine News

Wednesday, October 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

CDC Revamps Ebola Guidelines After Criticism

CDC Revamps Ebola Guidelines After Criticism

Newsy (Oct. 21, 2014) The Centers for Disease Control and Prevention have issued new protocols for healthcare workers interacting with Ebola patients. Video provided by Newsy
Powered by NewsLook.com
WHO: Ebola Vaccine Trials to Start a in January

WHO: Ebola Vaccine Trials to Start a in January

AP (Oct. 21, 2014) Tens of thousands of doses of experimental Ebola vaccines could be available for "real-world" testing in West Africa as soon as January as long as they are deemed safe in soon to start trials, the World Health Organization said Tuesday. (Oct. 21) Video provided by AP
Powered by NewsLook.com
First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

Newsy (Oct. 21, 2014) A medical team has for the first time given a man the ability to walk again after transplanting cells from his brain onto his severed spinal cord. Video provided by Newsy
Powered by NewsLook.com
CDC Issues New Ebola Guidelines for Health Workers

CDC Issues New Ebola Guidelines for Health Workers

Reuters - US Online Video (Oct. 21, 2014) The U.S. Centers for Disease Control and Prevention has set up new guidelines for health workers taking care of patients infected with Ebola. Linda So reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins