Quality-adjusted Cost Functions for HMOs

HMO 的质量调整成本函数

• 批准号: 6411906
• 负责人: TODD G CALDIS
• 金额: $ 3.24万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-01 至 2004-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6411906
• 关键词: clinical research; health care cost /financing; health care quality; health economics; health services research tag; human data; managed care

This is a study of Health Maintenance Organizations (IBIOs) as economic units. The broad goal is to explore how variations in the quality of services provided by HMOs affect the cost of providing service to their members. It is hypothesized that higher levels of quality will be more costly to produce, but that there may be financial paybacks to organizations that make ongoing investments in service quality. It is also hypothesized that different types of quality measures (process, structure, and outcome measures) may have different levels of importance in HMO costs. These research goals will be pursued-by estimating a quality-adjusted HMO cost function which will also be adjusted for case-mix... A national data set of HMO financial data assembled by HCIA and Healthplan Employers Data Information Set (IEDIS) quality measures supplied by the National Committee for Quality Assurance are the principal data sources to be employed in estimating the HMO cost function. Results of the study should provide important information about the economic role of quality in the HMO industry and insight into the economic significance of different types of quality measures. More generally, this study should provide insights into the economic role of quality in all types of healthcare production.

这是一个研究健康维护组织（IBIOs）作为经济单位。广泛的目标是探索HMO提供的服务质量的变化如何影响向其成员提供服务的成本。据推测，更高水平的质量将是更昂贵的生产，但可能有财务回报的组织，使不断投资于服务质量。它还假设，不同类型的质量措施（过程，结构和结果的措施）可能有不同程度的HMO成本的重要性。这些研究目标将追求通过估计质量调整HMO成本函数，也将调整病例组合…由HCIA和国家质量保证委员会提供的健康计划雇主数据信息集（IEDIS）质量措施收集的HMO财务数据的国家数据集是估计HMO成本函数的主要数据来源。研究结果应提供重要的信息，质量的经济作用，在HMO行业和洞察不同类型的质量措施的经济意义。更一般地说，这项研究应该提供洞察质量在所有类型的医疗保健生产的经济作用。

项目成果

Composite Health Plan Quality Scales

综合健康计划质量量表

• 发表时间: 2007
• 期刊: Health Care Financing Review
• 作者: Todd G. Caldis