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bundled payment

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Journal Article
J Health Polit Policy Law (1993) 18 (4): 937–965.
Published: 01 August 1993
... Medicaid reimbursement levels for skilled nursing facilities. The results of this study have implications for proposals to extend Medicare's Prospective Payment System for hospital services to include postacute care. Proponents of a “bundled payment” that encompasses both acute and postacute services argue...
Journal Article
J Health Polit Policy Law (2017) 42 (1): 53–71.
Published: 01 February 2017
..., that is, to improve health care and population health while containing cost. These include Maryland's Global Revenue Budget model, bundled payments, and ACOs, and they highlight the extent to which this version of integration is underwritten by savings achieved by providers for the Medicare program. The conclusion...
Journal Article
J Health Polit Policy Law (2011) 36 (3): 485–490.
Published: 01 June 2011
... 335 : 514 – 517 . Hastings D. A. 2009 . Accountable Care Organizations and Bundled Payments in Health Reform . Health Law Reporter (online) , October 22 . www.ebglaw.com/files/35492_BNA%20Article%20-%20Accountable%20Care%20Organizations%20and%20Bundled%20Payments%20in%20Health...
Journal Article
J Health Polit Policy Law (2016) 41 (5): 1033–1045.
Published: 01 October 2016
... to all providers save those engaged in other forms of “alternative” payment, such as bundled payment or accountable care organizations (ACOs). In 2001, Health and Human Services Secretary Tommy Thompson announced a “Quality Initiative,” which would eventually require hospitals receiving Medicare payments...
Journal Article
J Health Polit Policy Law (2011) 36 (3): 477–484.
Published: 01 June 2011
... numerous items on health ser- vices researchers’ and health economists’ wish lists, including policies to promote accountable care organizations (ACOs), primary care medical homes, bundled payment, pay for performance (P4P), comparative effec- tiveness research (CER), and health information...
Journal Article
J Health Polit Policy Law (2020) 45 (5): 889–904.
Published: 01 October 2020
... Park Hotel, Washington, DC, June 26 . ashecon.confex.com/ashecon/2019/webprogram/Paper7548.html . Joynt Maddox , Karen E. , Orav E. John , Zheng Jie , and Epstein Arnold . 2018 . “ Evaluation of Medicare's Bundled Payments Initiative for Medical Conditions .” New...
Journal Article
J Health Polit Policy Law (2011) 36 (3): 507–512.
Published: 01 June 2011
.... The AMA carefully avoided conflict and backed off from presenting doomsday scenarios. To be sure, delivery reforms such as payment bundling (section 3023) were created as demonstration projects and only within Medicare, a move consistent with the emphasis on keeping private insurance. These dem...
Journal Article
J Health Polit Policy Law (2016) 41 (6): 1097–1118.
Published: 01 December 2016
... University Law Review 86 : 1335 – 96 . Mechanic Robert E. 2015 . “ Mandatory Medicare Bundled Payment—Is It Ready for Prime Time? ” New England Journal of Medicine 373 , no. 14 : 1291 – 93 . doi: 10.1056/NEJMp1509155 . Mello Michelle M. , Boothman Richard C. , McDonald...
Journal Article
J Health Polit Policy Law (2020) 45 (5): 787–800.
Published: 01 October 2020
... of the past decade suggests that cost-control reforms like ACOs and bundled payments are too weak to give actors a financial incentive to increase their use of evidence. More robust—and more controversial—shifts in public policy will be needed to make evidence carry significant weight when doctors decide how...
Journal Article
J Health Polit Policy Law (2014) 39 (5): 1113–1126.
Published: 01 October 2014
... by conventional neoclassical economic theory, such as the diffusion of health savings accounts, the extension of capitated payment, and the promotion of managed competition, are repackaged as consumer-driven health care, ACOs, P4P, VBHC, and bundled payments. The renaming overlooks the limited success...
Journal Article
J Health Polit Policy Law (2012) 37 (4): 679–695.
Published: 01 August 2012
... care spending (Ginsburg and White 2011). The current array of more narrow and inconsistently implemented ini- tiatives, such as pay for performance (P4P), ACOs, bundled payments, evidence- based medicine, advanced medical homes, and health informa- tion technology certainly have merit...
Journal Article
J Health Polit Policy Law (2011) 36 (3): 591–596.
Published: 01 June 2011
... the responsibility of delivering coordinated care to given populations, for a specified period of time, and are paid with a combination of capitation-­based or bundled payments and gainsharing payments targeted to the achievement of specified qual- ity indicators. In many ways the ideal organization here...
Journal Article
J Health Polit Policy Law (2019) 44 (1): 157–164.
Published: 01 February 2019
... the popularity of these ideas, though. There is a great deal of momentum around the notion of moving from fee for service to some kind of bundled payment system that produces better “value” and quality. It amounts to an effort by payers to extract more knowledge about what they have bought from the system...
Journal Article
J Health Polit Policy Law (2000) 25 (2): 343–376.
Published: 01 April 2000
... generated in one month (Mainichi Newspaper 1995). Following a report by the Government Auditing Office (1993: 76) that found numerous cases of overbilling in FY1993, the MHW bundled drug payments and medical management fees for dialysis patients.26...
Journal Article
J Health Polit Policy Law (2012) 37 (4): 709–727.
Published: 01 August 2012
.... Providers will care about revenue because that’s the only way they have to make market. We’ve set the game up that way. As we move more toward, I hope, a consolidated payment system that includes global payment, capitation, bundled payment, and gain- sharing opportunities — where total cost is much...
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1277–1288.
Published: 01 December 2014
... value-based payment strategies. With participation of the two largest commercial carriers, the state Medicaid program, Medicare, and self-insured public and private entities, the state implemented episodes of care — a bundled payment strategy — for specific conditions and launched a patient-centered...
Journal Article
J Health Polit Policy Law (2018) 43 (5): 771–791.
Published: 01 October 2018
... described above. Today, the focus has shifted to payment reform: accountable care organizations, bundled payments, Medicare Advantage, and other changes to the fundamental structure of how health care providers are paid. One could argue that a shift toward these new models is warranted given the fundamental...
Journal Article
J Health Polit Policy Law (2017) 42 (6): 1127–1142.
Published: 01 December 2017
... in bundled payment demonstrations, or baskets of care . The legislation has been modified over time, with the Democratic administration of Governor Mark Dayton, who took office on January 3, 2011, implementing the more recent reform strategies. The reform legislation was amended again in 2011 to require...
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Journal Article
J Health Polit Policy Law (2011) 36 (4): 649–689.
Published: 01 August 2011
... Competitive Pricing Attempts by the Medicare Program (in Alphabetical Order by Medicare Benefit) 1991–1996: Cataract Surgery Alternate Payment Demonstration Negotiated bundled payment for Part A and B services for cataract sur- gery. The ophthalmic community exerted constant pressure during...
Journal Article
J Health Polit Policy Law (2019) 44 (5): 789–806.
Published: 01 October 2019
..., and its objectives align with those of other concurrent policies such as Medicare readmission penalties, shared savings, and bundled payment arrangements that shift emphasis from volume to quality. Careful examination and assessment of DSRIP initiatives and accounting for program features that SNHs...
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