Blue Cross Blue Shield of Massachusetts
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
- Study design
- Patients' cohort
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.
- Sources of Recruitment
Number of participants
- Number of participants
- Number of participants with biosamples
Availability of data and biosamples
No coverage data about the variables classifications are available.