ArticleHealth affairs (Project Hope)2019
Health Care Spending Slowed After Rhode Island Applied Affordability Standards To Commercial Insurers.
Article in Health affairs (Project Hope), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Rhode Island Affordability Standards and Hospital-Affiliated Clinicians' Professional Fees.JAMA network open · 2026Article
- State Cost Growth Benchmark Programs and Total Medical Expenditures, 2010 to 2020.JAMA network open · 2026Article
- State Spending Growth Benchmarks and Hospital Revenue, Hospital Prices, and Premiums.JAMA network open · 2026Article
- Estimating National and Regional Primary Care Spending in the Veterans Health Administration in 2022.Journal of the American Board of Family Medicine : JABFM · 2025Article
- State Health Care Cost Commissions: Their Priorities and How States' Political Leanings, Commercial Hospital Prices, and Medicaid Spending Predict Their Establishment.The Milbank quarterly · 2025Article
- Comparing ambulatory commercial spending in Rhode Island and Massachusetts, 2016-2019.Health services research · 2023Observational
- Research on the Effect of Commercial Health Insurance Development on Economic Efficiency.International journal of environmental research and public health · 2023Article
- Comparison of Low-Value Care Among Commercial and Medicaid Enrollees.Journal of general internal medicine · 2023Article
- Can higher spending on primary healthcare mitigate the impact of ageing and non-communicable diseases on health expenditure?BMJ global health · 2022Article
- Trends In Hospital Prices Paid By Private Health Plans Varied Substantially Across The US.Health affairs (Project Hope) · 2022Article
- Hospital resource allocation decisions when market prices exceed Medicare prices.Health services research · 2022Article
- Options for states to constrain pricing power of health care providers.Frontiers in health services · 2022Review
- Health Care Expenditures Among Adults With Diabetes After Oregon's Medicaid Expansion.Diabetes care · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
States are introducing regulations to slow health care spending growth, but which of these successfully reduce spending growth remains unclear. We studied Rhode Island's 2010 affordability standards, which imposed price controls-particularly inflation caps and diagnosis-based payments-on contracts between commercial insurers and hospitals and clinics and required commercial insurers to increase their spending on primary care and care coordination services. Using a difference-in-differences design, we compared spending among 38,001 commercially insured adults in Rhode Island to that among 38,001 matched adults in other states in the period 2007-16. Relative to quarterly fee-for-service (FFS) spending among the control group, quarterly FFS spending among the Rhode Island group decreased by $76 per enrollee after implementation of the policy, or a decline of 8.1 percent from 2009 spending. Quarterly non-FFS primary care coordination spending increased by $21 per enrollee. Total spending growth decreased, driven by lower prices concordant with the adoption of price controls. Quality measures were unaffected or improved. The Rhode Island experience indicates that states may be able to slow total commercial health care spending growth through price controls while maintaining quality.
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