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value-based purchasing

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Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (2018) 43 (6): 1025–1040.
Published: 01 December 2018
... way to concerns over the new program's value-based purchasing arrangements and uncertainty over their sustainability. MACRA eliminated the SGR, but not the politics of physician payment. Copyright © 2018 by Duke University Press 2018 MACRA merit-based incentive payment system alternative...
Journal Article
J Health Polit Policy Law (2018) 43 (3): 401–425.
Published: 01 June 2018
... as an example of the role evidence plays in policy deliberations. The report addressed the question of whether Medicare's value-based purchasing programs should be adjusted for patients' social risk factors. Despite high-quality and consistent results about the relationship between performance and social risk...
FIGURES
Journal Article
J Health Polit Policy Law (2009) 34 (5): 717–746.
Published: 01 October 2009
... of Physicians (ACP). 2005 . ACP Expresses Support for Representative Nancy Johnson's “Medicare Value-Based Purchasing for Physicians' Services Act of 2005.” Press release, July 28 . American Medical Association. 2005. Guidelines for Pay-for-Performance Programs. June 21. www.ama-assn.org/ama1/pub...
Journal Article
J Health Polit Policy Law (2018) 43 (1): 5–18.
Published: 01 February 2018
... Economics's clients provided funding to support this study or reviewed its contents at any time. References CMS (Centers for Medicare and Medicaid Services) . 2016 . “ Value Based Purchase Arrangements and Impact on Medicaid: Medicaid Drug Rebate Program Notice .” Release No. 176. July...
Journal Article
J Health Polit Policy Law (2005) 30 (3): 375–426.
Published: 01 June 2005
... of incentives set in place to accomplish a particular purpose, then regulation can proceed through market forces. Through value-based purchasing, health care purchasers can use the “power of the purse” to motivate providers to improve quality and patient safety. It has become de rigueur to refer...
Journal Article
J Health Polit Policy Law (2014) 39 (5): 955–956.
Published: 01 October 2014
...,” they argue that the persistent difficulty in implementing successful organizational reforms is in large part because the policy community is smitten by the rhetoric of delivery model fads — value-based purchasing, accountable care organizations — that when implemented often have little connection...
Journal Article
J Health Polit Policy Law (2020) 45 (5): 889–904.
Published: 01 October 2020
... , Miller David , Ryan Andrew , Birkmeyer John , and Chen Lena . 2016 . “ Adding a Spending Metric to Medicare's Value-Based Purchasing Program Rewarded Low-Quality Hospitals .” Health Affairs 35 , no. 5 : 898 – 906 . doi.org/10.1377/hlthaff.2015.1190 . Deb Partha...
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 (2005) 30 (4): 779–784.
Published: 01 August 2005
... of quality of care, assessing the impact of quality-based or value-based purchasing, and fi nancial risk adjustment. He is currently engaged in three research projects: developing public reports of hospital-specifi c intensive care unit (ICU) qual- ity of care for all hospitals with ICUs in California...
Journal Article
J Health Polit Policy Law (2016) 41 (5): 869–871.
Published: 01 October 2016
... conducts a qualitative comparative case study to understand why two seemingly similar conservative states—Wisconsin and Ohio—took divergent paths on the Medicaid Expansion, and a Behind the Jargon essay by Sandy Tanenbaum examines the value of value-based purchasing. Enjoy. References ASAM...
Journal Article
J Health Polit Policy Law (1999) 24 (5): 1159–1172.
Published: 01 October 1999
.... Hurley, D. Draper, and M. Jurgensen. 1999 . Reversal of Fortune: Commercial HMOs in the Medicaid Market. Health Affairs 18 ( 1 ): 223 -230. Meyer , J. , L. Rybowski, and R. Eichler. 1997 . Theory and Reality of Value-Based Purchasing: Lessons from the Pioneers. Washington, DC: Agency...
Journal Article
J Health Polit Policy Law (2018) 43 (6): 913–915.
Published: 01 December 2018
..., the authors argue that, now that SGR is gone, health policy actors are beginning to face up to the administrative, technical, and political realities of its replacement. There is growing disillusionment with the law's value-based purchasing agreements and uncertainty over their sustainability. While the SGR...
Journal Article
J Health Polit Policy Law (2015) 40 (4): 905–910.
Published: 01 August 2015
... utilization, even if the services are actually inappropriate.” Eric Kessell et al. ( 2015 : 764) are optimistic that “quality measures are evolving to include patient-reported outcomes” and recognize the significance of regulations governing the Hospital Value-Based Purchasing Program that seek to “lower...
Journal Article
J Health Polit Policy Law (2014) 39 (6): 1277–1288.
Published: 01 December 2014
.... An important component of the program was incorporation of ongoing multipayer efforts to transform the public and private health care payment system to a value-based purchasing strategy. Voluntary in nature, the AHCPII had garnered multipayer support from the two largest private carriers in the market...
Journal Article
J Health Polit Policy Law (2020) 45 (1): 153–164.
Published: 01 February 2020
... and plan design that can facilitate value-based purchasing and benefit design and potentially lower premiums for consumers. The state may have to limit the covered benefits in order to make the plan lower costs, potentially making it less attractive for people to purchase. Existing state and federal laws...
Journal Article
J Health Polit Policy Law (2014) 39 (3): 667–677.
Published: 01 June 2014
... is Oregon, which has organized a members-only network of states sharing Medicaid value-based purchasing studies including comparative drug effectiveness studies. Maine was the first state to establish its partnership, in 1989. Eight states followed in the 1990s, and five additional partnerships have...
FIGURES
Journal Article
J Health Polit Policy Law (2018) 43 (5): 797–819.
Published: 01 October 2018
... in the northeastern United States): “Engaging Physicians in Data Driven Quality Improvement to Succeed under Value Based Purchasing” “Best Practices in Telepsychiatry and Their Potential Applicability to an Urban Academic Health Center” “Alarm Management to Promote Patient Safety” “Progeny Use in Medical...
Journal Article
J Health Polit Policy Law (2018) 43 (2): 305–323.
Published: 01 April 2018
... of gaining final approval of its initial five-year Section 1115 Medicaid demonstration waiver that is designed to integrate the community delivery structure and move payment reforms toward value-based purchasing (Virginia Department of Medical Assistance Services 2016 ). Last, in June 2016, New Jersey...
Journal Article
J Health Polit Policy Law (2010) 35 (3): 407–422.
Published: 01 June 2010
... informed our decisions and drove our commitment to value-based purchasing. With Med­icaid now covering 20 percent of all Americans, this state imperative should be a national imperative. MB: What are the pros and cons of dividing the state’s responsibility among multiple agencies, particularly...