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Unlike many other studies, this study focuses on market-level rather than model-level impacts of value-based payment. The study found no statistically significant correlation between the penetration of VBP models and growth in the total cost of care for Medicare data or commercial payers data in over markets throughout the United States. The study also sought to identify other market factors, including disease prevalence, socioeconomic factors, demographics, and quality, that may influence growth in the total cost of care for Medicare. Overall, baseline cost variation was more readily explained than cost growth; the 23 factors identified by researchers explained 82 percent of baseline cost variation, but just 27 percent of variation in cost growth. Some were skeptical about the merits of population-based VBP models.
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