National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
Topics
- Colonoscopy (1)
- Community-Based Practice (1)
- Emergency Department (1)
- Emergency Medical Services (EMS) (1)
- Healthcare Cost and Utilization Project (HCUP) (1)
- Healthcare Costs (1)
- (-) Healthcare Utilization (8)
- Health Services Research (HSR) (1)
- Hospitalization (2)
- Medicaid (1)
- Medicare (2)
- (-) Payment (8)
- Prevention (2)
- Provider Performance (2)
- Quality of Care (2)
- Screening (1)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 8 of 8 Research Studies DisplayedUkhanova M, Marino M, Angier H
The impact of capitated payment on preventive care utilization in community health clinics.
Only half of the United States population regularly receives recommended preventive care services. Alternative payment models (e.g., a per-member-per-month capitated payment model) may encourage the delivery of preventive services when compared to a fee-for-service visit based model; however, evaluation is lacking in the United States. This study assessed the impact of implementing Oregon's Alternative Payment Methodology (APM) on orders for preventive services within community health centers (CHCs).
AHRQ-funded; HS022651.
Citation: Ukhanova M, Marino M, Angier H .
The impact of capitated payment on preventive care utilization in community health clinics.
Prev Med 2021 Apr;145:106405. doi: 10.1016/j.ypmed.2020.106405..
Keywords: Payment, Community-Based Practice, Prevention, Healthcare Utilization
Song LD, Newhouse JP, Garcia-De-Albeniz X
Changes in screening colonoscopy following Medicare reimbursement and cost-sharing changes.
This study examined changes in screening colonoscopy rates after Medicare reimbursement and cost-sharing changed when the Affordable Care Act (ACA) was implemented. A 20% random sample of fee-for-service (FFS) Medicare claims from 2002-2012 was used in this study. Screening colonoscopy rates did increase after 2001 when cost-sharing was eliminated but the amount varied depending on the algorithm used to classify the indication.
AHRQ-funded; HS023128.
Citation: Song LD, Newhouse JP, Garcia-De-Albeniz X .
Changes in screening colonoscopy following Medicare reimbursement and cost-sharing changes.
Health Serv Res 2019 Aug;54(4):839-50. doi: 10.1111/1475-6773.13150..
Keywords: Colonoscopy, Healthcare Costs, Healthcare Utilization, Medicare, Payment, Prevention, Screening
Colla CH, Morden NE, Sequist TD
Payer type and low-value care: comparing Choosing Wisely services across commercial and Medicare populations.
This study compared low-value health service use among commercially insured and Medicare populations and explored the influence of payer type on the provision of low-value care. In measuring use of seven Choosing Wisely-identified low-value services, it concluded that low-value care appears driven by factors unrelated to payer type or anticipated reimbursement.
AHRQ-funded; HS023812.
Citation: Colla CH, Morden NE, Sequist TD .
Payer type and low-value care: comparing Choosing Wisely services across commercial and Medicare populations.
Health Serv Res 2018 Apr;53(2):730-46. doi: 10.1111/1475-6773.12665.
.
.
Keywords: Payment, Healthcare Utilization, Health Services Research (HSR), Medicare
Nuckols TK, Fingar KR, Barrett M
AHRQ Author: Steiner CA, Stocks C, Owens PL
The shifting landscape in utilization of inpatient, observation, and emergency department services across payers.
Using data from four states from AHRQ’s Healthcare Cost and Utilization Project, this study compared the payer-specific population-based rates of adults using inpatient, observation, and emergency department (ED) services for 10 common medical conditions in 2009 and in 2013. Inpatient admissions declined, and care shifted toward treat-and-release observation stays and ED visits. The percentage of hospitalizations that began with an observation stay increased.
AHRQ-authored.
Citation: Nuckols TK, Fingar KR, Barrett M .
The shifting landscape in utilization of inpatient, observation, and emergency department services across payers.
J Hosp Med 2017 Jun;12(6):443-46. doi: 10.12788/jhm.2751.
.
.
Keywords: Healthcare Cost and Utilization Project (HCUP), Emergency Medical Services (EMS), Healthcare Utilization, Hospitalization, Payment
Mendelson A, Kondo K, Damberg C
The effects of pay-for-performance programs on health, health care use, and processes of care: a systematic review.
This review updated and expanded a prior review examining the effects of P4P programs targeted at the physician, group, managerial, or institutional level on process-of-care and patient outcomes in ambulatory and inpatient settings. It found that pay-for-performance programs may be associated with improved processes of care in ambulatory settings, but consistently positive associations with improved health outcomes have not been demonstrated in any setting.
AHRQ-funded; HS022981.
Citation: Mendelson A, Kondo K, Damberg C .
The effects of pay-for-performance programs on health, health care use, and processes of care: a systematic review.
Ann Intern Med 2017 Mar 7;166(5):341-53. doi: 10.7326/m16-1881.
.
.
Keywords: Payment, Provider Performance, Healthcare Utilization, Quality of Care
Rosenthal MB, Landrum MB, Robbins JA
Pay for performance in Medicaid: evidence from three natural experiments.
This study examined the impact of pay for performance in Medicaid on the quality and utilization of care. Primary outcomes of interest were Healthcare Effectiveness Data and Information Set (HEDIS)-like process measures of quality, utilization by service category, and ambulatory care-sensitive admissions and emergency department visits. Its findings were mixed, with no measurable quality improvements across the three states (Pennsylvania, Minnesota, Alabama), but reductions in hospital admissions in two programs.
AHRQ-funded.
Citation: Rosenthal MB, Landrum MB, Robbins JA .
Pay for performance in Medicaid: evidence from three natural experiments.
Health Serv Res 2016 Aug;51(4):1444-66. doi: 10.1111/1475-6773.12426.
.
.
Keywords: Medicaid, Payment, Provider Performance, Healthcare Utilization, Quality of Care, Hospitalization, Emergency Department
Conover MM, Jonsson Funk M, Kinlaw AC
Trends and patterns of urodynamic studies in U.S. males, 2000-2012.
This study evaluate trends in urodynamic procedures in U.S. males from 2000–2012 and determine if a 2010 decline in reimbursement was associated with decreased utilization. It found that Utilization of urodynamic procedures increased until 2010 and decreased thereafter. Utilization was greatest among men older than 65.
AHRQ-funded; HS017950.
Citation: Conover MM, Jonsson Funk M, Kinlaw AC .
Trends and patterns of urodynamic studies in U.S. males, 2000-2012.
PLoS One 2015 Jul 21;10(7):e0133657. doi: 10.1371/journal.pone.0133657..
Keywords: Healthcare Utilization, Payment
Conover MM, Jonsson Funk M, Kinlaw AC
Trends and patterns of urodynamic studies in U.S. women, 2000-2012.
The researchers estimated utilization rates for cystometrograms and described trends in urodynamic procedures among U.S. men from 2000 to 2012. They found that urodynamic investigations were most common in men older than 65 years and increased in use and complexity over the past decade.
AHRQ-funded; HS017950.
Citation: Conover MM, Jonsson Funk M, Kinlaw AC .
Trends and patterns of urodynamic studies in U.S. women, 2000-2012.
Obstet Gynecol 2015 Mar;125(3):559-65. doi: 10.1097/aog.0000000000000641..
Keywords: Healthcare Utilization, Payment