TY - JOUR
T1 - The alternative quality contract
T2 - Impact on service use and spending for children with ADHD
AU - Joyce, Nina R.
AU - Huskamp, Haiden A.
AU - Hadland, Scott E.
AU - Donohue, Julie M.
AU - Greenfield, Shelly F.
AU - Stuart, Elizabeth A.
AU - Barry, Colleen L
N1 - Funding Information:
The authors acknowledge funding from the National Institute on Drug Abuse (NIDA) (R01 DA035214 and P30 DA035772). Dr. Joyce acknowledges support from the National Institute of Mental Health (NIMH) (T32 MH019733). Dr. Greenfield acknowledges support from NIDA (K24 DA019855). The content is solely the responsibility of the authors and does not necessarily represent the official views of NIDA or NIMH.
PY - 2017/12/1
Y1 - 2017/12/1
N2 - In 2009, Blue Cross-Blue Shield of Massachusetts (BCBSMA) implemented the alternative quality contract (AQC), which pays provider organizations a global payment for all services used by enrollees. BCBSMA claims for 2006-2011 were used to compare youths enrolled in provider organizations participating in the AQC (7,407 person-years [PYs]) with those not participating (45,398 PYs). Difference-in-differences models estimated changes in mental health and substance abuse treatment service utilization and spending attributable to the AQC. The AQC was associated with small increases in the probability of any outpatient visits and in the probability and number of medication management visits among children with attention-deficit hyperactivity disorder (ADHD). Spending did not change, and there was no evidence of reductions in service utilization or spending for children with ADHD in the first three years of AQC implementation.
AB - In 2009, Blue Cross-Blue Shield of Massachusetts (BCBSMA) implemented the alternative quality contract (AQC), which pays provider organizations a global payment for all services used by enrollees. BCBSMA claims for 2006-2011 were used to compare youths enrolled in provider organizations participating in the AQC (7,407 person-years [PYs]) with those not participating (45,398 PYs). Difference-in-differences models estimated changes in mental health and substance abuse treatment service utilization and spending attributable to the AQC. The AQC was associated with small increases in the probability of any outpatient visits and in the probability and number of medication management visits among children with attention-deficit hyperactivity disorder (ADHD). Spending did not change, and there was no evidence of reductions in service utilization or spending for children with ADHD in the first three years of AQC implementation.
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U2 - 10.1176/appi.ps.201700143
DO - 10.1176/appi.ps.201700143
M3 - Article
C2 - 29137554
AN - SCOPUS:85037029451
SN - 1075-2730
VL - 68
SP - 1210
EP - 1212
JO - Psychiatric Services
JF - Psychiatric Services
IS - 12
ER -