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Journal Article
J Health Polit Policy Law (2017) 42 (1): 53–71.
Published: 01 February 2017
... section of the article will consider the politics of payment reform as social reform. It will address proposals that health care payers and providers lead in addressing the social contributors to ill health and urge payment reformers to appreciate more fully the politics and policies of other sectors...
View articletitled, Can <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span> Be Social <span class="search-highlight">Reform</span>? The Lure and Liabilities of the “Triple Aim”
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for article titled, Can <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span> Be Social <span class="search-highlight">Reform</span>? The Lure and Liabilities of the “Triple Aim”
Journal Article
J Health Polit Policy Law (2018) 43 (6): 1025–1040.
Published: 01 December 2018
... payment reform” (Guterman 2015 ). They rejoiced that Congress had moved beyond short-term measures and adopted reforms that could “catalyze increased efficiency and greater cost control” (Aaron 2015 : 1977). Now that the SGR is gone, Congress, the Centers for Medicare and Medicaid Services (CMS...
View articletitled, No Permanent Fix: MACRA, MIPS, and the Politics of Physician <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span>
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for article titled, No Permanent Fix: MACRA, MIPS, and the Politics of Physician <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span>
Journal Article
J Health Polit Policy Law (2015) 40 (4): 745–760.
Published: 01 August 2015
... savings approach to payment reform. Private payers have introduced total cost of care contracting (TCOC) in several locations. This article questions the consensus that FFS must go. If the fees are too high, then someone needs to “bite the bullet” and reduce fees in key areas. Hoping to control...
View articletitled, The Economics of Provider <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span>: Are Accountable Care Organizations the Answer?
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for article titled, The Economics of Provider <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span>: Are Accountable Care Organizations the Answer?
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in Accountable Care Organizations: The National Landscape
> Journal of Health Politics, Policy and Law
Published: 01 August 2015
Figure 2b ACO Participation in Payment Reform Strategies, Percentage within Cluster with ACO or ACO Provider Group–Level Participation Source : Reprinted with permission from Shortell, Stephen M., Frances M. Wu, Valerie A. Lewis, Carrie H. Colla, and Elliott Fisher. 2014. “A Taxonomy
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Journal Article
J Health Polit Policy Law (2015) 40 (1): 245–255.
Published: 01 February 2015
... managed care, they have differences that have been deliberately designed to improve care coordination, increase accountability, and incorporate greater community governance. Reforms include global budgets integrating medical, behavioral, and oral health care and public health functions; risk-adjusted...
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View articletitled, Oregon's Experiment in Health Care Delivery and <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span>: Coordinated Care Organizations Replacing Managed Care
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for article titled, Oregon's Experiment in Health Care Delivery and <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span>: Coordinated Care Organizations Replacing Managed Care
Journal Article
J Health Polit Policy Law (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...
View articletitled, Opportunities and Challenges for <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span>: Observations from Massachusetts
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for article titled, Opportunities and Challenges for <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span>: Observations from Massachusetts
Journal Article
J Health Polit Policy Law (1994) 19 (4): 729–751.
Published: 01 August 1994
... to severity; however the relationship between severity and net revenue per admission was not significant. The results suggest that hospitals with a more severe case mix may not recover the full costs of providing services. Thus payment reform should include adjustments for severity of illness. Copyright ©...
View articletitled, The Impact of Intra-Drg Severity of Illness on Hospital Profitability: Implications for <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span>
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for article titled, The Impact of Intra-Drg Severity of Illness on Hospital Profitability: Implications for <span class="search-highlight">Payment</span> <span class="search-highlight">Reform</span>
Journal Article
J Health Polit Policy Law (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...
View articletitled, Physician <span class="search-highlight">Payment</span> and Cost-Containment Strategies in West Germany: Suggestions for Medicare <span class="search-highlight">Reform</span>
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for article titled, Physician <span class="search-highlight">Payment</span> and Cost-Containment Strategies in West Germany: Suggestions for Medicare <span class="search-highlight">Reform</span>
Journal Article
J Health Polit Policy Law (2017) 42 (6): 1113–1125.
Published: 01 December 2017
... of care regardless of who pays the bill. In early 2015 we conducted on-site interviews with key stakeholders in five states to explore their strategies for payment and delivery reform. We found that despite these states' similar goals, differences in their statutory authority and purchasing power, along...
View articletitled, Statewide <span class="search-highlight">Payment</span> and Delivery <span class="search-highlight">Reform</span>: Do States Have What It Takes?
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for article titled, Statewide <span class="search-highlight">Payment</span> and Delivery <span class="search-highlight">Reform</span>: Do States Have What It Takes?
Journal Article
J Health Polit Policy Law (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...
View articletitled, Supporting Transformation through Delivery System <span class="search-highlight">Reform</span> Incentive <span class="search-highlight">Payment</span> Programs: Lessons from New York State
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for article titled, Supporting Transformation through Delivery System <span class="search-highlight">Reform</span> Incentive <span class="search-highlight">Payment</span> Programs: Lessons from New York State
Journal Article
J Health Polit Policy Law (1985) 10 (3): 513–532.
Published: 01 June 1985
.... That emphasis reflects not only the personal predilections of the author, but also the contention that those are the most sensible things to talk about. Copyright © 1985 by Duke University Press 1985 Reforming Medicare Provider Payment
Bruce C. Vladeck, United Hospital Fund of New York...
Journal Article
J Health Polit Policy Law (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...
View articletitled, Analysis, Advice, and Congressional Leadership: The Physician <span class="search-highlight">Payment</span> Review Commission and the Politics of Medicare
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for article titled, Analysis, Advice, and Congressional Leadership: The Physician <span class="search-highlight">Payment</span> Review Commission and the Politics of Medicare
Journal Article
J Health Polit Policy Law 11853756.
Published: 03 April 2025
... on Mechanisms for Price Increases Katherine L. Gudiksen University of California, College of the Law, San Francisco Andréa E. Caballero Catalyst for Payment Reform Paul B. Ginsburg University of Southern California Bruce Allain Thomas L. Greaney University of California, College of the Law, San Francisco Brent...
Journal Article
J Health Polit Policy Law (2011) 36 (3): 475.
Published: 01 June 2011
... Association's role in the politics of Medicare physician payment reform and considers how Medicare payment reforms have impacted the entire politics of health care reform. © 2011 by Duke University Press 2011 The Politics of Cost Control...
Journal Article
J Health Polit Policy Law (2005) 30 (6): 1003–1026.
Published: 01 December 2005
...Soonman Kwon; Michael R. Reich Korea recently introduced three major health care reforms: in financing (1999), pharmaceuticals (2000), and provider payment (2001). In these three reforms, new government policies merged more than 350 health insurance societies into a single payer, separated drug...
Journal Article
J Health Polit Policy Law (1995) 20 (2): 303–327.
Published: 01 April 1995
... of their capital costs. At the same time, overall reform points toward more capitation or fixed payments from all payers. This article discusses possible responses to legislative and competitive reforms by hospital management and the resulting effectiveness of the changes. To identify the potential effect...
Journal Article
J Health Polit Policy Law (2003) 28 (2-3): 289–316.
Published: 01 June 2003
... to influencing health policy. The essay begins with a review of the reasons for the growth and subsequent decline of physicians' influence. This is followed by a case study of physician payment reform under Medicare, which illustrates the ways in which organized medicine chooses when and when not to cooperate...
Journal Article
J Health Polit Policy Law (2015) 40 (2): 403–419.
Published: 01 April 2015
... net. Although there is some experimentation with payment reform and health information exchange, safety net providers identify significant policy and structural barriers to integrating service delivery. The enhanced Medicaid payments for CHCs and the federal requirement that CHCs retain independent...
Journal Article
J Health Polit Policy Law (2010) 35 (3): 407–422.
Published: 01 June 2010
... health policy for clients whose patients depended on Medicaid. Reviewing the ambitious Medicaid agenda that she helped lead, Bachrach reflects on expanding eligibility and increasing enrollment, designing and implementing payment reforms, and struggling with how best to rationalize program administration...
Journal Article
J Health Polit Policy Law (2023) 48 (1): 63–92.
Published: 01 February 2023
... a Medicare ACO program. In the decade since their launch, ACOs have grown into one of Medicare's flagship payment reform programs, with millions of beneficiaries receiving care from hundreds of ACOs. While great expectations surrounded ACOs' introduction into Medicare, their impacts to date have been modest...
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