ArticleHealth affairs (Project Hope)2020
A Medicaid Alternative Payment Model Program In Oregon Led To Reduced Volume Of Imaging Services.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed.
- A Proactive Telephonic Outreach Program to Address Unmet Social Needs of Children in Immigrant and Refugee Families at a Federally Qualified Health Center.Journal of racial and ethnic health disparities · 2025Article
- How Did Medicaid's 1115 Substance Use Disorder Waivers Increase Medication Treatment for Opioid Use Disorder? Evidence From Eight Waiver States.The Milbank quarterly · 2025Article
- Development of a psychometrically valid and reliable measure of primary care providers' willingness to engage with value based payments and innovations in care coordination.BMC health services research · 2024Article
- Effects Of Medicaid Waivers On Use Of Medications For Opioid Use Disorder And Nonfatal Overdoses In 17 States.Health affairs (Project Hope) · 2024Article
- Effect of Health Service Area on Primary Care Physician Provision of Low-Value Cancer Screening.Annals of internal medicine · 2024Article
- Primary Care Sub-capitation in Medicaid: Improving Care Delivery in the Safety Net.Journal of general internal medicine · 2023Article
- Health Centers and Value-Based Payment: A Framework for Health Center Payment Reform and Early Experiences in Medicaid Value-Based Payment in Seven States.The Milbank quarterly · 2022Article
- Association of Prenatal Care Expansion With Use of Antidiabetic Agents During Pregnancies Among Latina Emergency Medicaid Recipients With Gestational Diabetes.JAMA network open · 2022Article
- Geographic proximity to primary care providers as a risk-assessment criterion for quality performance measures.PloS one · 2022Article
- Association of Expanded Prenatal Care Coverage for Immigrant Women With Postpartum Contraception and Short Interpregnancy Interval Births.JAMA network open · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
The patient-centered medical home model aspires to fundamentally restructure care processes, but a volume-based payment system may hinder such transformations. In 2013 Oregon's Medicaid program changed its reimbursement of traditional primary care services for selected community health centers (CHCs) from a per visit to a per patient rate. Using Oregon claims data, we analyzed the price-weighted volume of care for five service areas: traditional primary care services, including imaging, tests, and procedures; other services provided by CHCs that were carved out from the payment reform; emergency department visits; inpatient services; and other services of non-CHC providers. We further subdivided traditional primary care services using Berenson-Eggers Type of Service categories of care. We compared participating and nonparticipating CHCs in Oregon before and after the payment model was implemented. The payment reform was associated with a 42.4 percent relative reduction in price-weighted traditional primary care services, driven fully by decreased use of imaging services. Other outcomes remained unaffected. Oregon's initiative could provide lessons for other states interested in using payment reform to advance the patient-centered medical home model for the Medicaid population.
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