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Workplace wellness programs can generate savings.
Amid soaring health spending, there is growing interest in workplace disease prevention and wellness programs to improve health and lower costs. In a critical meta-analysis of the literature on costsExpand
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Using propensity scores in difference-in-differences models to estimate the effects of a policy change
Abstract Difference-in-difference (DD) methods are a common strategy for evaluating the effects of policies or programs that are instituted at a particular point in time, such as the implementationExpand
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Who Ordered That? The Economics of Treatment Choices in Medical Care
In the United States, two patients with the same medical condition can receive drastically different treatments. In addition, the same patient can walk into two physicians’ offices and receiveExpand
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The 'Alternative Quality Contract,' based on a global budget, lowered medical spending and improved quality.
Seven provider organizations in Massachusetts entered the Blue Cross Blue Shield Alternative Quality Contract in 2009, followed by four more organizations in 2010. This contract, based on a globalExpand
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Association between support group attendance and weight loss after Roux-en-Y gastric bypass.
BACKGROUND Attending support group meetings has been linked to increased weight loss after gastric bypass surgery. However, the degree to which support group attendance influences weight loss isExpand
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Changes in health care spending and quality 4 years into global payment.
BACKGROUND Spending and quality under global budgets remain unknown beyond 2 years. We evaluated spending and quality measures during the first 4 years of the Blue Cross Blue Shield of MassachusettsExpand
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Health care spending and quality in year 1 of the alternative quality contract.
BACKGROUND In 2009, Blue Cross Blue Shield of Massachusetts (BCBS) implemented a global payment system called the Alternative Quality Contract (AQC). Provider groups in the AQC system assumeExpand
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Trends in physician referrals in the United States, 1999-2009.
BACKGROUND Physician referrals play a central role in ambulatory care in the United States; however, little is known about national trends in physician referrals over time. The objective of thisExpand
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Mobile clinic in Massachusetts associated with cost savings from lowering blood pressure and emergency department use.
Mobile health clinics are in increasingly wide use, but evidence of their clinical impact or cost-effectiveness is limited. Using a unique data set of 5,900 patients who made a total of 10,509 visitsExpand
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Two-Year Impact of the Alternative Quality Contract on Pediatric Health Care Quality and Spending
OBJECTIVE: To examine the 2-year effect of Blue Cross Blue Shield of Massachusetts’ global budget arrangement, the Alternative Quality Contract (AQC), on pediatric quality and spending for childrenExpand
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