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Cover for The Cost Cure? Assessing Clinical Quality Responses to Maryland's Global Budget Model
dc.contributor.advisorMudrazija, Stipica
dc.creator
dc.date.accessioned2019-07-05T19:15:42Z
dc.date.available2019-07-05T19:15:42Z
dc.date.created2019
dc.date.issued
dc.date.submitted01/01/2019
dc.identifier.uri
dc.descriptionM.P.P.
dc.description.abstractIn 2014, Maryland implemented a new global budgeting system to complement its unique rate-setting regime. The new global budget model (GBM) sets both individual hospital rates for goods and services, as well as annual maximum allowed revenues for hospitals. This study uses a census of hospital admissions in Maryland from before and after the implementation of the GBM (2012-2015) and compares clinical outcomes to those in Washington State for the same period using a difference-in-differences analysis. The analysis considers shifts in probabilities of inpatient mortality and 30-day readmissions. The results predict shifts of very low magnitude in an uncertain direction, suggesting that the changes in provider incentives created by global budgeting and rate-setting do not have a certain effect on clinical quality, and could possibly play no major role in quality outcomes.
dc.formatPDF
dc.format.extent41 leaves
dc.languageen
dc.publisherGeorgetown University
dc.sourceGeorgetown University-Graduate School of Arts & Sciences
dc.sourcePublic Policy & Policy Management
dc.subjectGlobal Budget
dc.subjectHealthcare
dc.subjectMortality
dc.subjectQuality
dc.subjectRate Setting
dc.subjectReadmissions
dc.subject.lcshPublic policy
dc.subject.otherPublic policy
dc.titleThe Cost Cure? Assessing Clinical Quality Responses to Maryland's Global Budget Model
dc.typethesis


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