The Impact of Global Budgets on Pharmaceutical Spending and Utilization: Early Experience From the Alternative Quality Contract

In 2009, Blue Cross Blue Shield of Massachusetts implemented a global budget-based payment system, the Alternative Quality Contract (AQC), in which provider groups assumed accountability for spending. We investigate the impact of global budgets on the utilization of prescription drugs and related ex...

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Autores principales: Afendulis, Christopher C., Fendrick, A. Mark, Song, Zirui, Landon, Bruce E., Safran, Dana Gelb, Mechanic, Robert E., Chernew, Michael E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2014
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4950856/
https://www.ncbi.nlm.nih.gov/pubmed/25500751
http://dx.doi.org/10.1177/0046958014558716
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author Afendulis, Christopher C.
Fendrick, A. Mark
Song, Zirui
Landon, Bruce E.
Safran, Dana Gelb
Mechanic, Robert E.
Chernew, Michael E.
author_facet Afendulis, Christopher C.
Fendrick, A. Mark
Song, Zirui
Landon, Bruce E.
Safran, Dana Gelb
Mechanic, Robert E.
Chernew, Michael E.
author_sort Afendulis, Christopher C.
collection PubMed
description In 2009, Blue Cross Blue Shield of Massachusetts implemented a global budget-based payment system, the Alternative Quality Contract (AQC), in which provider groups assumed accountability for spending. We investigate the impact of global budgets on the utilization of prescription drugs and related expenditures. Our analyses indicate no statistically significant evidence that the AQC reduced the use of drugs. Although the impact may change over time, early evidence suggests that it is premature to conclude that global budget systems may reduce access to medications.
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spelling pubmed-49508562016-07-19 The Impact of Global Budgets on Pharmaceutical Spending and Utilization: Early Experience From the Alternative Quality Contract Afendulis, Christopher C. Fendrick, A. Mark Song, Zirui Landon, Bruce E. Safran, Dana Gelb Mechanic, Robert E. Chernew, Michael E. Inquiry Article In 2009, Blue Cross Blue Shield of Massachusetts implemented a global budget-based payment system, the Alternative Quality Contract (AQC), in which provider groups assumed accountability for spending. We investigate the impact of global budgets on the utilization of prescription drugs and related expenditures. Our analyses indicate no statistically significant evidence that the AQC reduced the use of drugs. Although the impact may change over time, early evidence suggests that it is premature to conclude that global budget systems may reduce access to medications. SAGE Publications 2014-12-09 /pmc/articles/PMC4950856/ /pubmed/25500751 http://dx.doi.org/10.1177/0046958014558716 Text en © The Author(s) 2014 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Article
Afendulis, Christopher C.
Fendrick, A. Mark
Song, Zirui
Landon, Bruce E.
Safran, Dana Gelb
Mechanic, Robert E.
Chernew, Michael E.
The Impact of Global Budgets on Pharmaceutical Spending and Utilization: Early Experience From the Alternative Quality Contract
title The Impact of Global Budgets on Pharmaceutical Spending and Utilization: Early Experience From the Alternative Quality Contract
title_full The Impact of Global Budgets on Pharmaceutical Spending and Utilization: Early Experience From the Alternative Quality Contract
title_fullStr The Impact of Global Budgets on Pharmaceutical Spending and Utilization: Early Experience From the Alternative Quality Contract
title_full_unstemmed The Impact of Global Budgets on Pharmaceutical Spending and Utilization: Early Experience From the Alternative Quality Contract
title_short The Impact of Global Budgets on Pharmaceutical Spending and Utilization: Early Experience From the Alternative Quality Contract
title_sort impact of global budgets on pharmaceutical spending and utilization: early experience from the alternative quality contract
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4950856/
https://www.ncbi.nlm.nih.gov/pubmed/25500751
http://dx.doi.org/10.1177/0046958014558716
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