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Value-Based Payments: Intellectual and Developmental Disabilities Quality Indicators Associated With Billing
Carli Friedman1, Mary C Rizzolo1
1Carli Friedman and Mary C Rizzolo, CQL | The Council on Quality and Leadership.
Intellectual and Developmental Disabilities
|July 20, 2021
Summary
Quality metrics can predict costs in intellectual and developmental disabilities (IDD) services. This research shows quality assurance indicators offer potential for cost savings and efficient service delivery for people with IDD.
Area of Science:
- Health Services Research
- Health Economics
- Disability Studies
Background:
- Managed care is increasingly integrated into intellectual and developmental disabilities (IDD) services.
- There is a lack of consensus on measurable outcomes for IDD services, particularly for value-based payments (VBP).
Purpose of the Study:
- To investigate potential value-based payment (VBP) metrics for individuals with intellectual and developmental disabilities (IDD).
- To examine the relationship between quality indicators and costs within the IDD service system.
Main Methods:
- Analysis of Basic Assurances data and long-term services and supports (LTSS) billing data.
- Inclusion of data from 68 human service organizations supporting 6,608 individuals with IDD.
- Utilized hierarchical regression modeling to predict cost variance.
Main Results:
- The final regression model explained 66.40% of the variance in annual LTSS billing per person.
- Quality assurance indicators were found to account for a substantial portion of the cost variance.
- Demonstrated a significant link between quality metrics and service costs.
Conclusions:
- Quality assurance indicators are viable metrics for value-based payments (VBP) in IDD services.
- Quality metrics indicate potential for cost savings and improved efficiency in service delivery.
- Findings support the use of quality metrics to drive value in IDD service systems.
Keywords:
cost savingslong-term services and supportsmanaged care and managed long-term services and supportsquality metricsvalue-based paymentsMore Related Videos
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