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Health Systems Do Not Engage in Retail Competition on Diabetes Care Performance, AJMC® Study Finds

Some large employers and policy makers advocate for retail
competition that relies on providers competing on healthcare
performance. Using diabetes care in Minnesota as an example, researchers
examined whether the public reporting of care measures encouraged health
systems to improve their clinics’ diabetes care performance in the
latest issue of
The American Journal of Managed Care®.

CRANBURY, N.J.–(BUSINESS WIRE)–Writing in the April
issue
of The American Journal of Managed Care® (AJMC®),
researchers examining diabetes care in Minnesota clinics found that
publicly reporting care measures did not result in health systems
improving their lower-performing clinics enough to compete with
higher-performing competitors, a finding that runs counter to the
economic theory that retail competition spurs providers to improve
healthcare quality.

Applying the tenets of market-style competition to healthcare is an idea
that has been around for decades. In this Policy article, “Do
Health Systems Respond to the Quality of Their Competitors?

researchers sought to validate this theory by seeing if the quality of
low-performing clinics improved in response to their higher-performing
counterparts. They estimated results for 654 clinics that offered
diabetes care from 2006 to 2013. Minnesota began requiring the reporting
of diabetes care measures in 2010 but does not penalize clinics for not
complying.

While diabetes care improved overall, low-performing clinics fell
further behind high-performing clinics; clinics that were already
performing well improved even more.

Consumers may not be aware of quality measures, the study reported. In
addition, smaller clinics may lack the resources required to implement
quality improvement efforts.

For the full study, click
here
.

About The American Journal of Managed Care®

The American Journal of Managed Care® (AJMC®)
is a peer-reviewed, Medline-indexed journal that keeps readers on the
forefront of health policy by publishing research relevant to industry
decision makers as they work to promote the efficient delivery of
high-quality care. AJMC.com is the essential website for managed care
professionals, distributing industry updates daily to leading
stakeholders. Other titles in the AJMC® family include The
American Journal of Accountable Care
® and two
evidence-based series, Evidence-Based Oncologyand
Evidence-Based Diabetes Management. These
comprehensive offerings bring together stakeholder views from payers,
providers, policymakers and other industry leaders in managed care. To
order reprints of articles appearing in AJMC® publications,
please contact Gil Hernandez at 609-716-7777, ext. 139.

Contacts

AJMC® Media
Alexandra
Ventura, 609-716-7777, ext. 121
[email protected]

John
Patricolo, 609-325-4630, ext. 133
[email protected]

Some large employers and policy makers advocate for retail
competition that relies on providers competing on healthcare
performance. Using diabetes care in Minnesota as an example, researchers
examined whether the public reporting of care measures encouraged health
systems to improve their clinics’ diabetes care performance in the
latest issue of
The American Journal of Managed Care®.

CRANBURY, N.J.–(BUSINESS WIRE)–Writing in the April
issue
of The American Journal of Managed Care® (AJMC®),
researchers examining diabetes care in Minnesota clinics found that
publicly reporting care measures did not result in health systems
improving their lower-performing clinics enough to compete with
higher-performing competitors, a finding that runs counter to the
economic theory that retail competition spurs providers to improve
healthcare quality.

Applying the tenets of market-style competition to healthcare is an idea
that has been around for decades. In this Policy article, “Do
Health Systems Respond to the Quality of Their Competitors?

researchers sought to validate this theory by seeing if the quality of
low-performing clinics improved in response to their higher-performing
counterparts. They estimated results for 654 clinics that offered
diabetes care from 2006 to 2013. Minnesota began requiring the reporting
of diabetes care measures in 2010 but does not penalize clinics for not
complying.

While diabetes care improved overall, low-performing clinics fell
further behind high-performing clinics; clinics that were already
performing well improved even more.

Consumers may not be aware of quality measures, the study reported. In
addition, smaller clinics may lack the resources required to implement
quality improvement efforts.

For the full study, click
here
.

About The American Journal of Managed Care®

The American Journal of Managed Care® (AJMC®)
is a peer-reviewed, Medline-indexed journal that keeps readers on the
forefront of health policy by publishing research relevant to industry
decision makers as they work to promote the efficient delivery of
high-quality care. AJMC.com is the essential website for managed care
professionals, distributing industry updates daily to leading
stakeholders. Other titles in the AJMC® family include The
American Journal of Accountable Care
® and two
evidence-based series, Evidence-Based Oncologyand
Evidence-Based Diabetes Management. These
comprehensive offerings bring together stakeholder views from payers,
providers, policymakers and other industry leaders in managed care. To
order reprints of articles appearing in AJMC® publications,
please contact Gil Hernandez at 609-716-7777, ext. 139.

Contacts

AJMC® Media
Alexandra
Ventura, 609-716-7777, ext. 121
[email protected]

John
Patricolo, 609-325-4630, ext. 133
[email protected]

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