The Relationship between Health Plan Performance Measures and Physician Network Overlap: Implications for Measuring Plan Quality
dc.contributor.author | Maeng, Daniel D. | en_US |
dc.contributor.author | Scanlon, Dennis P. | en_US |
dc.contributor.author | Chernew, Michael E. | en_US |
dc.contributor.author | Gronniger, Tim | en_US |
dc.contributor.author | Wodchis, Walter P. | en_US |
dc.contributor.author | Mclaughlin, Catherine G. | en_US |
dc.date.accessioned | 2011-01-31T17:24:27Z | |
dc.date.available | 2011-10-03T17:19:15Z | en_US |
dc.date.issued | 2010-08 | en_US |
dc.identifier.citation | Maeng, Daniel D.; Scanlon, Dennis P.; Chernew, Michael E.; Gronniger, Tim; Wodchis, Walter P.; Mclaughlin, Catherine G.; (2010). "The Relationship between Health Plan Performance Measures and Physician Network Overlap: Implications for Measuring Plan Quality." Health Services Research 45(4): 1005-1023. <http://hdl.handle.net/2027.42/79067> | en_US |
dc.identifier.issn | 0017-9124 | en_US |
dc.identifier.issn | 1475-6773 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/79067 | |
dc.description.abstract | To examine the extent to which health plan quality measures capture physician practice patterns rather than plan characteristics.We gathered and merged secondary data from the following four sources: a private firm that collected information on individual physicians and their health plan affiliations, The National Committee for Quality Assurance, InterStudy, and the Dartmouth Atlas.We constructed two measures of physician network overlap for all health plans in our sample and linked them to selected measures of plan performance. Two linear regression models were estimated to assess the relationship between the measures of physician network overlap and the plan performance measures.The results indicate that in the presence of a higher degree of provider network overlap, plan performance measures tend to converge to a lower level of quality.Standard health plan performance measures reflect physician practice patterns rather than plans' effort to improve quality. This implies that more provider-oriented measurement, such as would be possible with accountable care organizations or medical homes, may facilitate patient decision making and provide further incentives to improve performance. | en_US |
dc.format.extent | 201419 bytes | |
dc.format.extent | 3106 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.subject.other | Physician Network Overlap | en_US |
dc.subject.other | Managed Care | en_US |
dc.subject.other | Health Plan | en_US |
dc.subject.other | Quality | en_US |
dc.subject.other | Accountable Care Organizations (ACO) | en_US |
dc.subject.other | HEDIS | en_US |
dc.subject.other | CAHPS | en_US |
dc.title | The Relationship between Health Plan Performance Measures and Physician Network Overlap: Implications for Measuring Plan Quality | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | University of Michigan, Ann Arbor, MI. | en_US |
dc.contributor.affiliationother | The Pennsylvania State University, 504 Ford Building, University Park, PA 16802 | en_US |
dc.contributor.affiliationother | The Pennsylvania State University, University Park, PA | en_US |
dc.contributor.affiliationother | Department of Health Care Policy, Harvard Medical School, Harvard University, Boston, MA | en_US |
dc.contributor.affiliationother | U.S. House of Representatives, Committee on Energy and Commerce, Washington, DC | en_US |
dc.contributor.affiliationother | Health Management Policy & Evaluation, Faculty of Medicine, University of Toronto, Toronto, ON, Canada | en_US |
dc.identifier.pmid | 20403064 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/79067/1/j.1475-6773.2010.01111.x.pdf | |
dc.identifier.doi | 10.1111/j.1475-6773.2010.01111.x | en_US |
dc.identifier.source | Health Services Research | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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