Hospital Affiliation With Health Systems and Managed Care Plans May Increase Quality But Not Cost Savings
The increasing prevalence of health systems and hospital managed care ownership may lead to higher quality but is unlikely to reduce hospital discharge costs, according to a new AHRQ study. Researchers used data from the agency’s Healthcare Cost and Utilization Project to evaluate average costs, the duration of inpatient stays and quality performance at more than 3,900 hospitals. Hospitals were classified based on whether they participated in a health system, whether that system centrally managed hospitals, and whether the system had an ownership stake in the managed care insurance products offered to patients. Hospitals participating in centrally managed systems generally provided similar or better care than independent hospitals, but at a higher cost per discharge, researchers found. Those systems with an ownership stake in insurance products also experienced higher costs, but with mixed results in quality. Researchers concluded that the study could have implications for policymakers or hospitals seeking mergers as a way to lower costs while maintaining or improving care. The article, “Impact of Health System Affiliation on Hospital Resource Use Intensity and Quality of Care,” was published in the December issue of Health Services Research. Access the abstract.
Impact of Health System Affiliation on Hospital Resource Use Intensity and Quality of Care. - PubMed - NCBI
Health Serv Res. 2016 Dec 22. doi: 10.1111/1475-6773.12631. [Epub ahead of print]
Impact of Health System Affiliation on Hospital Resource Use Intensity and Quality of Care.
© Health Research and Educational Trust.
Centralization; cost; health systems; hospitals; quality indicators
- [PubMed - as supplied by publisher]