Association Between Imposition of a Maintenance of Certification Requirement and Ambulatory Care-Sensitive Hospitalizations and Health Care Costs - American Board of Medical Specialties

The goal of this quasi-experimental study was to evaluate the association between the American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) program and outcomes of care. Researchers compared two groups of physicians, those certified by ABIM and participating in MOC, and those certified and not participating in MOC. Preventable hospitalizations and health care costs of Medicare beneficiaries served as outcome measures. Study results revealed no significant association between physician participation in MOC and hospitalization rates; however, a small reduction of health care costs was detected. It should be noted that the study is limited to the Medicare population, and, in addition to other factors, there are limitations associated with preventable hospitalization rates as outcome measures.

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