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 September 17, 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 September 17, 2014).

Share This



More Health & Medicine News

Wednesday, September 17, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com
Man Floats for 31 Hours in Gulf Waters

Man Floats for 31 Hours in Gulf Waters

AP (Sep. 16, 2014) A Texas man is lucky to be alive after he and three others floated for more than a day in the Gulf of Mexico when their boat sank during a fishing trip. (Sept. 16) Video provided by AP
Powered by NewsLook.com
Ivorians Abandon Monkey Pets in Fear Over Ebola Virus

Ivorians Abandon Monkey Pets in Fear Over Ebola Virus

AFP (Sep. 16, 2014) Since the arrival of Ebola in Ivory Coast, Ivorians have been abandoning their pets, particularly monkeys, in the fear that they may transmit the virus. Duration: 00:47 Video provided by AFP
Powered by NewsLook.com
Study Links Male-Pattern Baldness To Prostate Cancer

Study Links Male-Pattern Baldness To Prostate Cancer

Newsy (Sep. 16, 2014) New findings suggest men with a certain type of baldness at age 45 are 39 percent more likely to develop aggressive prostate cancer. Video provided by Newsy
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:
from the past week

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