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Journal Article
Journal of Health Politics, Policy and Law (1 April 2007) 32 (2): 293–306.
Published: 01 April 2007
...Katharina Janus; Lawrence D. Brown Commentary Medicare as Incubator for Innovation in Payment Policy Katharina Janus Lawrence D...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2009) 34 (3): 361–380.
Published: 01 June 2009
...Naoki Ikegami Case-mix-based payment was developed for hospital chronic care units in Japan to replace the flat per diem rate and encourage the admission of patients with higher medical acuity and was part of a policy initiative to make the tariff more evidence based. However, although the criteria...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2017) 42 (1): 53–71.
Published: 01 February 2017
... aim, 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...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2017) 42 (6): 1113–1125.
Published: 01 December 2017
...Judy Feder; Alan R. Weil; Robert Berenson; Rachel Dolan; Nicole Lallemand; Emily Hayes Abstract States' role in payment as well as coverage will be subject to debate as the administration and the Congress decide how to address the Affordable Care Act (ACA) and otherwise reshape the nation's health...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2018) 43 (3): 483–510.
Published: 01 June 2018
...Jonathan Oberlander; Steven B. Spivack Abstract Enacted as part of the 2010 Patient Protection and Affordable Care Act, the Independent Payment Advisory Board (IPAB) was hailed by many analysts as a major innovation in US health policy making and cost control. The board promised to put a brake on...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2018) 43 (6): 1025–1040.
Published: 01 December 2018
... Reauthorization Act (MACRA). MACRA established value-based metrics for physician payment and financial incentives for doctors to join alternative delivery models like patient-centered medical homes. Throughout the law's initial implementation, the politics of accommodation prevailed, with federal officials...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2018) 43 (2): 305–323.
Published: 01 April 2018
...Dylan H. Roby; Christopher J. Louis; Mallory M. Johnson Cole; Natalie Chau; Bridgette Wiefling; David C. Salsberry; Evan King; Allen Miller Abstract The New York Delivery System Reform Incentive Payment (DSRIP) waiver was viewed as a prototype for Medicaid and safety net redesign waivers in the...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2015) 40 (4): 745–760.
Published: 01 August 2015
...Roger Feldman Abstract A remarkable consensus has developed that the fee-for-service (FFS) approach for paying medical providers must be replaced. This payment approach is said to increase the volume of services without improving care coordination. In response to these calls, Medicare and private...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2015) 40 (1): 245–255.
Published: 01 February 2015
... payments rewarding outcomes and evidence-based practice; increased transparency; and greater community engagement. The CCO model faces several implementation challenges. If successful, it will provide improved health care delivery, better health outcomes, and overall savings. Copyright © 2015 by Duke...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2015) 40 (4): 839–846.
Published: 01 August 2015
...Miriam J. Laugesen Copyright © 2015 by Duke University Press 2015 Among practitioners and proponents, the accountable care organization (ACO) model is usually characterized as a disruptive innovation in US health care that reflects over two decades of calls for quality-based payments within...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1979) 4 (3): 435–463.
Published: 01 June 1979
...Judith Feder; Bruce Spitz This paper analyzes the politics of hospital payment over the last decade. The authors explain how provider interests and judgments became a standard for appropriate hospital payment; the impact of that standard on hospital costs; and the political obstacles to imposing an...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1982) 7 (2): 407–420.
Published: 01 April 1982
...Richard W. Foster Prospective payment is distinguished from the imposition of a regulatory ceiling on hospital costs. While a regulatory ceiling could potentially be effective in controlling expenditure growth, its success depends upon the political climate. Prospective payment, as a distinct...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1983) 7 (4): 987–995.
Published: 01 August 1983
...Lawrence D. Brown Copyright © 1983 by the Department of Health Administration, Duke University 1983 Washington Report The Prospects for Prospective Payment Lawrence D. Brown In Washington the word is out that costs are dead. Since the Tax Equity and Fiscal...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1992) 17 (3): 483–508.
Published: 01 June 1992
...Maqbool Dada; William D. White; Houston H. Stokes; Paul Kurzeja The Medicare prospective payment system (PPS) was designed to create financial incentives for providers to contain costs, but it also places them at financial risk. The system includes provisions to mitigate the risk, but, because they...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1992) 17 (3): 509–516.
Published: 01 June 1992
...Lee R. Chartock; Robert A. Dorwart References Christianson , J. B. , and M. S. Linehan. 1989 . Capitated Payments for Mental Health Care: The Rhode Island Programs. Community Mental Health Journal 25 : 121 -31. Cromwell , J. , B. Harrow, T. G. McGuire, and R. P. Ellis. 1991...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1990) 15 (1): 69–99.
Published: 01 February 1990
.... , George J. Schieber, Martha A. Blaxall, and Jon R. Gabel. 1978 . Geographic Variation in Physicians' Fees. Journal of the American Medical Association 240 ( 13 ): 1368 -71. Caldwell , Jacques R. 1989 . Physician Payment Reform: A Practicing Physician's Perspective. Frontiers 6 ( 1...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1993) 18 (1): 113–174.
Published: 01 February 1993
...Thomas R. Oliver In 1985, Congress established the Physician Payment Review Commission (PPRC) to help formulate changes in the system used by Medicare to pay for physician services. The recommendations of the PPRC and subsequent legislative action led to fundamental reform. As a new type of...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1990) 15 (4): 932–933.
Published: 01 August 1990
...Harvey M. Sapolsky Louise B. Russell, Medicare's New Hospital Payment System: Is It Working? Washington, DC: Brookings Institution, 1989. 114 pp. Copyright © 1990 by Duke University Press 1990 932 Journal of Health Politics, Policy and Law Louise B. Russell. Medicare’sNew...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1995) 20 (2): 303–327.
Published: 01 April 1995
...Robert T. Kauer; J. B. Silvers; Jill Teplensky New Medicare regulations have replaced the cost-based system of reimbursement of capital expenditures by hospitals with a fixed payment per case based on assigned diagnostic-related groups. For the first time, hospitals must pay the governmental share...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 743–762.
Published: 01 August 2016
...Robert E. Mechanic Abstract Policy makers and private health plans are expanding their efforts to implement new payment models that will encourage providers to improve quality and deliver health care more efficiently. Over the past five years, payment reforms have progressed faster in Massachusetts...