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Health Care Quality Paired With Total Cost in WA State

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To further understanding of where the highest quality care is offered for the lowest cost in Washington state, the Washington Health Alliance released new information that displays for the first time where medical groups and clinics measure up across Washington on both quality and cost. The analysis also displays where counties and Accountable Communities of Health stand under similar terms.

This highlight leverages the Alliance’s Community Checkup results from the Quality Composite Score and Total Cost of Care, both of which are based on claim data from its voluntary All-Payer Claim payer database. The analysis included medical claims from January 1 through December 31, 2020, for more than 4 million people, or more than 50% of Washington state’s population.

This report also offers an expanded sample for the Quality Composite Score, which rates medical groups against the state average of four different domains including prevention and screening; care for chronic diseases; coordinated, cost-effective care; and appropriate, cost-effective care. Those domains are comprised of up to 29 measures considered strong indicators of quality primary care.

Along with these four Quality Composite Score domains, this highlight adds the new, fifth domain of cost. While cost is a factor in this analysis, it does not impact a medical group or clinic’s Quality Composite Score since cost and quality are balanced against independent state averages.

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