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value-based purchasing

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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 2018) 43 (3): 401–425.
Published: 01 June 2018
... 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...
Journal Article
Journal of Health Politics, Policy and Law (1 December 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
Journal of Health Politics, Policy and Law (1 October 1999) 24 (5): 1238–1244.
Published: 01 October 1999
... purchasing standard would have a much greater chance of realistic implementation than a massive centralized, national program” (p. xii). Such a technical approach, avoiding “sweep- ing national legislation” and “massive new bureaucracy,” would be “more consistent with U.S. values and approaches” (p. 7...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2002) 27 (1): 5–30.
Published: 01 February 2002
.... Watts. 2001 . Value Purchasing of Health Care among the Fortune 500. Health Affairs 20 (3): 181 -188. Maxwell, James, Forrest Briscoe, Stephen Davidson, Lisa Eisen, Mark Robbins, Peter Temin, and Cheryl Young. 1998 . Managed Competition in Practice: “Value Purchasing” by Fourteen Employers...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2011) 36 (4): 717–755.
Published: 01 August 2011
..., even within the conventional consequentialist analysis, a more nuanced assessment of the bases for ethical concern helps identify values that are differentially affected by different mechanisms for commodification. Second, and also in contrast to much of the ethical debate on this ques- tion...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2004) 29 (4-5): 815–834.
Published: 01 October 2004
... came in the form of a purchasers’ revolt, as the federal government, large firms, and insur- ance companies sought to rein in the providers and gain control over sky- rocketing health care costs, revealing the fragility of physicians’ power base. The Struggle against Government Financing For...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1995) 20 (4): 885–908.
Published: 01 August 1995
...—system. Again, at the pur- chaser/provider divide generally is found a contract. This article is a comparative exploration of purchaser/provider con- tracts for hospital care in these two countries, based on the reading of contracts. We also draw on the extensive academic literature on con...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2005) 30 (6): 1065–1100.
Published: 01 December 2005
... health care was ill suited to commercialization. There are similarities across all five countries in what has been adopted and rejected. Some market reforms are more legitimate than others. Reforms based on resolving principal-agent problems, including purchaser-provider splits and managerial reforms...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1999) 24 (2): 215–238.
Published: 01 April 1999
...Steven J. Balla This article examines the impact of population demographics, health market characteristics, and government purchasing and regulation on the development of the HMO industry in the 1990s. I focus on two facets of development—HMO market share and the number of HMOs in operation...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2018) 43 (1): 5–18.
Published: 01 February 2018
... program notice it encouraged drug manufacturers to seek the agency's guidance on whether and how their value-based purchasing arrangements interact with the best-price rule (CMS 2016 ). A number of articles have flagged the best-price rule as a potential obstacle to novel pricing arrangements...
Journal Article
Journal of Health Politics, Policy and Law (1 October 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...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2016) 41 (1): 3–40.
Published: 01 February 2016
... media messages in support of universal background checks were fact-based and used rational arguments, and opposing messages often used rights-based frames designed to activate the core values of politically engaged gun owners. Reframing supportive messages about background check policies to align with...
Includes: Supplementary data
Journal Article
Journal of Health Politics, Policy and Law (1 February 1990) 15 (1): 69–99.
Published: 01 February 1990
...Bradford L. Kirkman-Liff The West German health care system pays ambulatory care physicians on a fee-for-service basis but employs a national relative value scale and regional capitation-based revenue pools to achieve expenditure controls on total physician reimbursement. Physician-controlled...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1987) 12 (1): 53–76.
Published: 01 February 1987
... in the purchase of policies, and (5) regulations gov- erning the marketing and sale of insurance. Methodology The analysis was carried out using multiple regression analysis. Because the sample on which this study is based was drawn using a complex sample design with different sampling...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2015) 40 (5): 1061–1085.
Published: 01 October 2015
... regulations, which prevent insurance companies from charging different premiums based on health status; guaranteed issue regulations, which prevent insurers from excluding anyone because of preexisting conditions; subsidies for low- and moderate-income families to purchase health insurance; a mandate for...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2005) 30 (3): 453–474.
Published: 01 June 2005
... proceeded much more slowly than was anticipated. This article examines factors affecting the adoption and use of RA outside the Medi-care program using case studies in six U.S. health care markets (Baltimore, Seattle, Denver, Cleveland, Phoenix, and Atlanta) as of 2001. We found that for purchasing...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2005) 30 (1-2): 53–78.
Published: 01 April 2005
... version of the core ideas originally promulgated. She argues that the logic of the NHS is that of a state-hierarchical system with two key structural elements that inevitably tempered market-oriented reforms based on contracts between purchasers and providers. First, at the micro- level, as...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 401–440.
Published: 01 June 2002
... variation in even simple safeguards shows that existing safety incentives are too weak. Our model suggests that the biggest improvement would come from boosting the demand for quality and safety from both private and public larger group purchasers. Current policy relies too much on litigation and discipline...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 781–801.
Published: 01 August 2016
... coverage provisions. While the New Jersey reforms did not require individuals to purchase coverage, its experiences with direct and indirect market subsidies and regulations guiding plan design, issuance, and rating have important implications for how the ACA may achieve its coverage goals in the absence...