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outcome-based pricing

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Journal Article
Journal of Health Politics, Policy and Law (1 February 2018) 43 (1): 5–18.
Published: 01 February 2018
...Rachel Sachs; Nicholas Bagley; Darius N. Lakdawalla Abstract In recent years, drug manufacturers and private payers have expressed interest in novel pricing models that more closely link a drug's price to its value. Indication-based pricing, outcome-based pricing, drug licenses, and drug mortgages...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2018) 43 (3): 401–425.
Published: 01 June 2018
... the apparent advantages for linking evidence to policy, the resulting deliberations did not yield simple policy outcomes with regard to whether or not to adjust value-based purchasing programs for social risk. For health services researchers in general, and particularly for those who believe that...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2015) 40 (4): 711–744.
Published: 01 August 2015
... broad adoption of a health maintenance organization (HMO) strategy that relied on narrow networks and price concessions from providers, state-based all-payer price regulation was dropped, with only Maryland's rate-setting approach continuing. Prices for nongovernment payers as an important policy issue...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2000) 25 (6): 1051–1081.
Published: 01 December 2000
... which we examined empirically the relationship between market concentration and pricing patterns for three types of nonprofit hospitals that are distinguishable based on degree of community control: an independent hospital, a member of a local hospital system, and a member of a nonlocal hospital system...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1981) 5 (4): 634–650.
Published: 01 August 1981
... number which gives the percentage increase in quantity sold which would accompany a one percent decrease in price. The market outcome under monopoly is that price exceeds marginal costs of production, and an economic profit accrues to the producer. In addition, price multiplied by the additional...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2011) 36 (4): 649–689.
Published: 01 August 2011
... information about the underlying costs of providing a good or service; then it sets the price based on that information. All competitive-­bidding systems must have some incentive for suppliers to be not only efficient but also to submit bids that are close to their own costs. For example, in bidding...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2016) 41 (5): 1033–1045.
Published: 01 October 2016
...Sandra J. Tanenbaum Abstract Value-based purchasing (VBP) is a widely favored strategy for improving the US health care system. The meaning of value that predominates in VBP schemes is (1) conformance to selected process and/or outcome metrics, and sometimes (2) such conformance at the lowest...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2014) 39 (3): 691–705.
Published: 01 June 2014
... suggest that Russia consider adopting value-based pricing, and in the short term, that it introduce direct price negotiations and price drugs according to reference countries that use health technology assessment. Although generic market shares are high, generic medicine prices are higher than they should...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2018) 43 (5): 771–791.
Published: 01 October 2018
... murkiness of public-sector prices in tax-based systems. In the British National Health Service (NHS), for instance, prices are public. However, as a fee-for-service system, the marginal cost of providing a service is difficult to estimate, given that sometimes the fixed costs of care are funded through...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1987) 12 (3): 409–426.
Published: 01 June 1987
... are $9500 higher, indicating a substantially more expensive case mix. Combining volume, outcomes related to quality of care, and price. In the sections above, we primarily focused on the situations and implications that might arise if selective contracting were individually based on...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1982) 7 (3): 746–748.
Published: 01 June 1982
... reasoning based on the definition of quality given by organized optometry; but no attempt to tie the selection of these variables to consumer preferences is made, nor is there any attempt made to link these measures with outcomes. This somewhat weakens their interpretation as quality measures...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2001) 26 (2): 464–467.
Published: 01 April 2001
... mechanism to track change in the quality of a ser- vice bundle over time is even more complex. The heart attack price index described at the Brookings-AEI conference relied on change in mortality as a measure of quality. While certainly an important outcome, survival...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2011) 36 (4): 775–790.
Published: 01 August 2011
... eventually have to turn to “all-­payer pricing or global budgeting” (Lee 2009). In contrast, Williams of Aetna objected to the idea of a public plan that would pay providers rates based on Medicare payment by arguing that “the government is missing the point — it is not how much we pay that is the...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2017) 42 (1): 5–52.
Published: 01 February 2017
... rising prices through direct regulation at the state level. Yet this literature fails to account for how change agents in the states gradually reconfigured the politics of prices, forging new, transparency-based policy instruments called all-payer claims databases (APCDs), which are designed to empower...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2011) 36 (4): 791–801.
Published: 01 August 2011
... found that for specific conditions such as heart attacks or hip fractures, differences in health-­ and price-­adjusted spending approach 60 percent between the highest and lowest quintiles of health 2. The quintiles are based on regions where Medicare patients live rather than the entire U.S...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1988) 13 (4): 735–752.
Published: 01 August 1988
...) claim that rather than using surpluses to enhance quality, NFPs invest them in “flat of the curve” technology (i.e., use of equipment and practices that at best only mar- ginally affect outcomes) to keep physicians happy. Other bases of support for taxing NFPs are more anecdotal but quite...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1988) 13 (2): 239–261.
Published: 01 April 1988
...Roger Feldman; Frank Sloan Ten years ago we developed a model of demand inducement in the physician services market and explored the properties of that model. We found that predictions concerning physicians' prices, workloads, and income were ambiguous and in many cases were consistent with those...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2009) 34 (6): 1035–1077.
Published: 01 December 2009
...: the use of “performance-based regulation” (May 2003) to reduce these problems. What is here called performance-based regulation is sometimes also called outcome-based regulation. Performance-based regulation seeks to hold enterprises directly responsible for decreasing the harms they know...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 717–742.
Published: 01 August 2016
...Mark Schlesinger; Bradford H. Gray Abstract As contemporary health policy promotes evidence-based practices using targeted incentives, policy makers may lose track of vital aspects of care that are difficult to measure. For more than a half century, scholars have recognized that these latter...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 675–696.
Published: 01 August 2016
... patient adherence, as well as clinical outcomes (Anhang Price et al. 2014 ), including morbidity (Fremont et al. 2001 ) and mortality (Meterko et al. 2010 ), suggesting that those with better patient experience scores received better care. We found no support for the concern that providing high-quality...