Two key strategies
tested in recent years have failed to reduce spending, according to the Congressional Budget Office.
Several studies analyzed experiments promoting better care coordination
to help keep chronically ill patients out of the hospital. Other studies analyzed experiments that rewarded doctors and hospitals based on quality rather than volume.
Neither approach reduced spending, according to the CBO’s report.
When additional fees for monitoring patients were included, care coordination actually increased spending in certain cases, while the payment for value strategy only saved money when providers were provided with a fixed amount and urged to use it efficiently, the study said.