The impact of global budget payment reform on systemic overuse in Maryland.

ABSTRACT:

Background

Medical overuse is a leading contributor to the high cost of the US health care system and is a definitive misuse of resources. Elimination of overuse could improve health care efficiency. In 2014, the State of Maryland placed the majority of its hospitals under an all-payer, annual, global budget for inpatient and outpatient hospital services. This program aims to control hospital use and spending.

Objective

To assess whether the Maryland global budget program was associated with a reduction in the broad overuse of health care services.

Methods

We conducted a retrospective analysis of deidentified claims for 18-64 year old adults from the IBM MarketScan® Commercial Claims and Encounters Database. We matched 2 Maryland Metropolitan Statistical Areas (MSAs)

SUBMITTER: Oakes AH 

PROVIDER: S-EPMC7680446 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature