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August 15, 2026Medical Care

Impact of Alternative Payment Models on Quality of Care in Federally Qualified Health Centers From 2014 to 2024

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Authors

TGTianjiao GaoWZWu Zeng

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Overview

Difference-in-differences study demonstrates modest improvements in healthcare quality among community health centers adopting value-based payments, indicating potential benefits of payment reform.

Key Points

  • To evaluate the impact of alternative payment models on clinical quality of care across federally qualified health centers in the United States.
  • Conducted a 2-stage difference-in-differences analysis comparing quality metrics across 695 federally qualified health centers in states adopting alternative payment models versus non-adopting states from 2014 to 2024.
  • Evaluated 6 quality-of-care indicators spanning maternal and child services, preventive screenings, and cardiovascular disease management, stratified into 3 groups by patient volume.
  • Alternative payment model adoption was significantly associated with improvements across 4 measures: early prenatal care (+3.82 percentage points), dental sealants (+9.12 percentage points), depression screening (+5.08 percentage points), and ischemic vascular disease treatment (+3.50 percentage points).
  • Stratified analyses showed that large health centers in adopting states experienced statistically significant improvements across 3 quality indicators.

Cite This Study

Gao et al. (2026) studied this question.

synapsesocial.com/papers/6a8019ce75c2e31742c85f71https://doi.org/10.1097/mlr.0000000000002367
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