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Value-based primary care: insights from a commercial insurer in Arkansas
Value-based primary care: insights from a commercial insurer in Arkansas
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Issue brief (Milbank Memorial Fund)
- Author(s):
- Brown, Clare C., author
Tilford, J. Mick, author
Berkemeyer, Alicia, author
Davis, Victor, author
Whitlock, Adam, author - Contributor(s):
- Milbank Memorial Fund, issuing body.
- Publication:
- New York, NY : Milbank Memorial Fund, July 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Insurance, Health -- economics
Primary Health Care -- economics
Value-Based Purchasing
Arkansas
United States - Genre(s):
- Technical Report
- Abstract:
- Public and private primary care transformation initiatives aim to strengthen primary care and lower costs by using value-based payments for care delivered in innovative care models like patient-centered medical homes (PCMHs). This issue brief examines whether there were changes in health care spending and utilization (years 2011 through 2018) associated with practice-level participation in one of the three Arkansas Blue Cross and Blue Shield value-based primary care programs. Health care spending and utilization were evaluated for a commercially insured population of beneficiaries attributed to practices that participated in either the federal Comprehensive Primary Care (CPC) Classic program, the Arkansas Blue Cross PCMH program, or the federal Comprehensive Primary Care Plus program. Average beneficiary spending decreased by approximately $30 per member per quarter for the CPC Classic and Arkansas Blue Cross PCMH programs, compared to practices that did not participate. Estimated savings suggests a 2:1 return on investment, which indicates that each dollar spent on care management fees among this commercially insured adult population resulted in a $2 savings in beneficiary spending. Reductions in acute inpatient stays and emergency department use likely account for the program savings. Savings were greater for participating practices in later years for each of the programs, suggesting that return on investment may increase over time.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (10 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101775027 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101775027