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Performance of the ACG Case-Mix System in Two Canadian Provinces


  • Reid, R.J.
  • MacWilliam, l.
  • Verhulst, L.
  • Roos, N.
  • Atkinson, M.


While the adjusted clinical group (ACG) system has been extensively validated in the United States, its use in other developed nations has been limited. This article examines the performance of the system in 2 Canadian provinces and accesses the extent to which ACGs can account for some-year and next-year health care expenditures.

Suggested Citation

  • Reid, R.J. & MacWilliam, l. & Verhulst, L. & Roos, N. & Atkinson, M., 2001. "Performance of the ACG Case-Mix System in Two Canadian Provinces," Centre for Health Services and Policy Research 2001:1r, University of British Columbia - Centre for Health Services and Policy Research..
  • Handle: RePEc:fth:brichs:2001:1r

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    References listed on IDEAS

    1. Labelle, Roberta & Stoddart, Greg & Rice, Thomas, 1994. "Editorial: Response to Pauly on a re-examination of the meaning and importance of supplier-induced demand," Journal of Health Economics, Elsevier, vol. 13(4), pages 491-494.
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    3. Pauly, Mark V., 1994. "Editorial: A re-examination of the meaning and importance of supplier-induced demand," Journal of Health Economics, Elsevier, vol. 13(3), pages 369-372, October.
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    5. Sugden, Robert & Williams, Alan, 1978. "The Principles of Practical Cost-Benefit Analysis," OUP Catalogue, Oxford University Press, number 9780198770411.
    6. Harberger, Arnold C, 1971. "Three Basic Postulates for Applied Welfare Economics: An Interpretive Essay," Journal of Economic Literature, American Economic Association, vol. 9(3), pages 785-797, September.
    7. Pauly, Mark V., 1994. "Reply to Roberta Labelle, Greg Stoddart and Thomas Rice," Journal of Health Economics, Elsevier, vol. 13(4), pages 495-496.
    8. Culyer, A J, 1989. "The Normative Economics of Health Care Finance and Provision," Oxford Review of Economic Policy, Oxford University Press, vol. 5(1), pages 34-58, Spring.
    9. Labelle, Roberta & Stoddart, Greg & Rice, Thomas, 1994. "A re-examination of the meaning and importance of supplier-induced demand," Journal of Health Economics, Elsevier, vol. 13(3), pages 347-368, October.
    10. Culyer, A. J. & Wagstaff, Adam, 1993. "Equity and equality in health and health care," Journal of Health Economics, Elsevier, vol. 12(4), pages 431-457, December.
    11. Charles Blackorby & David Donaldson, 1990. "A Review Article: The Case against the Use of the Sum of Compensating Variations in Cost-Benefit Analysis," Canadian Journal of Economics, Canadian Economics Association, vol. 23(3), pages 471-494, August.
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    Cited by:

    1. Brilleman, Samuel L. & Gravelle, Hugh & Hollinghurst, Sandra & Purdy, Sarah & Salisbury, Chris & Windmeijer, Frank, 2014. "Keep it simple? Predicting primary health care costs with clinical morbidity measures," Journal of Health Economics, Elsevier, vol. 35(C), pages 109-122.
    2. Coyle, Natalie & Strumpf, Erin & Fiset-Laniel, Julie & Tousignant, Pierre & Roy, Yves, 2014. "Characteristics of physicians and patients who join team-based primary care practices: Evidence from Quebec's Family Medicine Groups," Health Policy, Elsevier, vol. 116(2), pages 264-272.
    3. Sibley, Lyn M. & Glazier, Richard H., 2012. "Evaluation of the equity of age–sex adjusted primary care capitation payments in Ontario, Canada," Health Policy, Elsevier, vol. 104(2), pages 186-192.
    4. John Robinson & Scott Zeger & Christopher Forrest, 2004. "Studying Effects of Primary Care Physicians and Patients on the Trade-Off Between Charges for Primary Care and Specialty Care Using a Hierarchical Multivariate Two-Part Model," Johns Hopkins University Dept. of Biostatistics Working Paper Series 1051, Berkeley Electronic Press.
    5. repec:eee:jhecon:v:55:y:2017:i:c:p:76-94 is not listed on IDEAS
    6. Lavergne, Miriam Ruth & Barer, Morris & Law, Michael R. & Wong, Sabrina T. & Peterson, Sandra & McGrail, Kimberlyn, 2016. "Examining regional variation in health care spending in British Columbia, Canada," Health Policy, Elsevier, vol. 120(7), pages 739-748.
    7. Orueta, Juan-Francisco & Urraca, Javier & Berraondo, Inaki & Darpon, Jon & Aurrekoetxea, Juan-Jose, 2006. "Adjusted Clinical Groups (ACGs) explain the utilization of primary care in Spain based on information registered in the medical records: A cross-sectional study," Health Policy, Elsevier, vol. 76(1), pages 38-48, March.
    8. Hanley, Gillian E. & Morgan, Steve, 2009. "Chronic catastrophes: Exploring the concentration and sustained nature of ambulatory prescription drug expenditures in the population of British Columbia, Canada," Social Science & Medicine, Elsevier, vol. 68(5), pages 919-924, March.
    9. Leslie Roos & Brett Hiebert & Phongsack Manivong & Jason Edgerton & Randy Walld & Leonard MacWilliam & Janelle Rocquigny, 2013. "What is Most Important: Social Factors, Health Selection, and Adolescent Educational Achievement," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 110(1), pages 385-414, January.
    10. Amy Tawfik & Walter P. Wodchis & Petros Pechlivanoglou & Jeffrey Hoch & Don Husereau & Murray Krahn, 2016. "Using Phase-Based Costing of Real-World Data to Inform Decision–Analytic Models for Atrial Fibrillation," Applied Health Economics and Health Policy, Springer, vol. 14(3), pages 313-322, June.

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    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health


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