Individual Study / BCBSMA

Blue Cross Blue Shield of Massachusetts

Blue Cross Blue Shield of Massachusetts

Initiatives -
BCBSMA establishes a global budget for AQC provider organizations to cover all services and costs. The contract model is designed to include inpatient, outpatient, pharmacy, behavioral health, and other costs and services associated with each of their BCBSMA patients. The initial global budget is based on historical health care cost expenditure levels. It is adjusted each year for inflation, and the health status of the provider’s specific BCBSMA patients. Providers retain the margins derived from the reduction of inefficiencies.
Start Year
2009
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Members

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Investigators Contacts
  • Dr. Prof. Zirui Song
    Harvard Medical School

Design

Study design
Patients' cohort

Marker Paper

Song, Z., Safran, D. G., Landon, B. E., He, Y., Ellis, R. P., Mechanic, R. E., ... & Chernew, M. E. (2011). Health care spending and quality in year 1 of the alternative quality contract. New England Journal of Medicine, 365(10), 909-918.

Recruitment

Sources of Recruitment
  • Individuals

Number of participants

Number of participants
380,142
Number of participants with biosamples

Access

Availability of data and biosamples

Data
Biosamples
Other