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Journal Article
J Health Polit Policy Law (2009) 34 (5): 717–746.
Published: 01 October 2009
...Sandra J. Tanenbaum Pay for performance (P4P) is of growing importance in the Medicare program. Pay-for-performance policy has the support of political actors in both parties and in the legislative and executive branches; of experts, business, and consumer interests; and in a qualified way...
Journal Article
J Health Polit Policy Law (2009) 34 (5): 747–776.
Published: 01 October 2009
...Ruth McDonald; Joseph White; Theodore R. Marmor Paying physicians to hit performance targets is becoming increasingly fashionable, as evidenced by the growing number of “pay-for-performance” programs in the United States and beyond. This article compares pay-for-performance initiatives in two...
Journal Article
J Health Polit Policy Law (2006) 31 (3): 531–556.
Published: 01 June 2006
...William M. Sage; Dev N. Kalyan The competitive benefits of pay-for-performance (P4P) financial incentives are widely assumed. These incentives can affect health care through several mechanisms, however, not all of which involve competition. This insight has three implications. First, federal...
Journal Article
J Health Polit Policy Law (2021) 46 (4): 627–639.
Published: 01 August 2021
... administration has an opportunity to provide overdue, strategic direction to the pursuit of value-based payments and to replace failed pay-for-performance with provider-managed projects to improve quality and reduce health disparities. Copyright © 2021 by Duke University Press 2021 Medicare COVID-19...
Journal Article
J Health Polit Policy Law (2016) 41 (4): 717–742.
Published: 01 August 2016
... aspects play a crucial role in high-quality care and equitable health system performance but depend on the potentially frail reed of providers' trustworthiness: that is, their commitment to facets and outcomes of care not easily assessed by external parties. More recently, early experience with pay...
Journal Article
J Health Polit Policy Law (2018) 43 (3): 455–482.
Published: 01 June 2018
... reengineering measures such as accountable care organizations, pay for performance, and cost-effectiveness analysis. Even the meaning of evidence for some measures (e.g., reengineering) was different from that for others (e.g., price regulation). Being heavily promoted by the most prestigious policy experts did...
Journal Article
J Health Polit Policy Law (1989) 14 (1): 169–190.
Published: 01 February 1989
... state Medicaid programs. Fourteen states direct patients to specific organ transplant facilities; nine encourage patients to use in-state centers by providing guidance through evaluation teams; and four will not pay for procedures performed out-of-state. Methods of reimburse- ment also vary...
Journal Article
J Health Polit Policy Law (1986) 11 (4): 647–669.
Published: 01 December 1986
... developments and reconsiders state performance from the vantage point of the mid-1980s. While hard evidence remains elusive, a plausible case exists that any gap between the states and Washington on commitment, capacity, and progressivity has diminished. State administrative capacity in particular has probably...
Journal Article
J Health Polit Policy Law (2007) 32 (2): 293–306.
Published: 01 April 2007
...Katharina Janus; Lawrence D. Brown Duke University Press 2007 American Medical Association. 2001 . Patient Care Physician Survey of Nonfederal Patient Care Physicians, 2001 . Chicago: American Medical Association. Cannon, M. F. 2006 . Pay-for-Performance—Is Medicare a Good...
Journal Article
J Health Polit Policy Law (2011) 36 (1): 59–87.
Published: 01 February 2011
... University Press 2011 References Alliance of Community Health Plans (ACHP) . 2005 . Performance Measurement and Paying for Performance in Medicare: Health Plans, Hospitals, and Physicians . Washington, DC : ACHP . Asch S. M. McGlynn E. A. Hogan M. M. Hayward R...
Journal Article
J Health Polit Policy Law (2009) 34 (5): 675–677.
Published: 01 October 2009
... the market-oriented states toward a com- prehensive reform agenda. The next two articles look at one of the favorite topics for both sides of the competition/regulation debate: pay for performance, or value-based purchasing. As Sandra Tanenbaum notes in her analysis of the evolution...
Journal Article
J Health Polit Policy Law (2018) 43 (6): 1025–1040.
Published: 01 December 2018
... depending on physicians' performance on myriad quality measures. It “is an outgrowth of a decade of smaller pay-for-reporting and pay-for-performance programs” (Berenson 2016 ). In the name of streamlining reporting requirements, MACRA combines three preexisting separate programs, the Physician Quality...
Journal Article
J Health Polit Policy Law (2012) 37 (4): 647–664.
Published: 01 August 2012
.... Reeves D. Kontopantelis E. Sibbald B. Roland M. . 2009 . Effects of Pay for Performance on the Quality of Primary Care in England . New England Journal of Medicine 361 ( 4 ): 368 – 378 . Cooper Z. N. McGuire A. Jones S. Le Grand J. . 2009 . Equity, Waiting...
Journal Article
J Health Polit Policy Law (2013) 38 (6): 1103–1127.
Published: 01 December 2013
...? In both the United States and England there is acceptance that clinical practice variations are significant and offer potential savings that can fund reform and improved population care. The response in both countries and elsewhere has been to invest in pay-for-performance (P4P) schemes. How good...
Journal Article
J Health Polit Policy Law (2016) 41 (5): 1033–1045.
Published: 01 October 2016
... purchasing may not be to patients or even payers, but to policy makers seeking a morally justifiable alternative to politically contested regulatory policies. Copyright © 2016 by Duke University Press 2016 value-based purchasing pay-for-performance payment reform Medicare Value-based...
Journal Article
J Health Polit Policy Law (2009) 34 (1): 93–135.
Published: 01 February 2009
...-profile pay-for-performance sys- tem in which higher reimbursement is determined, in part, on the basis of quality measures. Significant change in reimbursement methods recently took place in California and Minnesota, moderate change in Washington, and minimal change in the remaining three states...
Journal Article
J Health Polit Policy Law (2009) 34 (4): 593–615.
Published: 01 August 2009
... of the gross domestic product (GDP) on health. There are, however, substantial variations both over time and across countries in the performance of the single-payer-like nations, as well as among the nations in the other universal coverage model categories. Overall, the differences in system performance among...
Journal Article
J Health Polit Policy Law (1999) 24 (6): 1331–1361.
Published: 01 December 1999
... sensitive to the use of the two 15. Also in part because the CRNA, who was capable of performing many of the tasks alone, was being paid far less than the anesthesiologist. 16. The HCFA was very clear that these conditions were purely criteria to warrant any pay- ment to an anesthesiologist...
Journal Article
J Health Polit Policy Law (1992) 17 (4): 613–636.
Published: 01 August 1992
... obstacle is inadequate knowledge and insufficient empirical information. We still know little about the performance of various types of health systems and the key dynamic forces that influence outcomes. By confronting theory with empirical evidence, we can move beyond this ideological gridlock...
Journal Article
J Health Polit Policy Law (2018) 43 (1): 5–18.
Published: 01 February 2018
... never realize those benefits. That insight has prompted interest in a novel pricing model, variously referred to as “outcome-based pricing” and “pay for performance.” Outcome-based pricing could be implemented as a simple rebate. A drug manufacturer might sell the drug at a given price but owe...