Results 61 to 70 of about 7,394 (165)

Fee-for-Service Payment – An Evil Practice that Must be Stamped Out? [PDF]

International Journal of Health Policy and Management, 2015
Co-opting physicians to regulate Fee-for-Service (FFS) payment is more feasible and simpler to administer than capitation, Diagnosis-Related Groups (DRGs) and pay-for-performance.
Naoki Ikegami
doaj   +1 more source

Asymmetric Information With Multiple Risks: The Case of the Chilean Private Health Insurance Market

Health Economics, Volume 35, Issue 5, Page 712-729, May 2026.
ABSTRACT We extend the Rothshild and Stiglitz (1976) model to two sources of risk –inpatient and outpatient risk– to better proxy real‐world health insurance markets. We uncover an interesting theoretical possibility: Take individuals A and B, who are low risks in, say, the inpatient dimension but A is riskier in the outpatient dimension.
Dolores de la Mata, Matilde P. Machado, Pau Olivella, Nieves Valdés   +3 more
wiley   +1 more source

Out‐of‐Pocket Costs and Antidepressant Adherence in Head and Neck Cancer Survivors

Psycho-Oncology, Volume 35, Issue 5, May 2026.
ABSTRACT Background Head and neck cancer (HNC) survivors have a high burden of depression, yet real‐world antidepressant adherence and the role of patient out‐of‐pocket (OOP) costs in this population remain poorly characterized. Methods We analyzed a retrospective cohort of US adults with HNC and a new antidepressant prescription in Merative MarketScan
Gennaro Di Tosto, Neil K. Mehta, Christopher W. Noel, Ann Scheck McAlearney, Lauren E. Miller   +4 more
wiley   +1 more source

The Synergistic Mechanism of Capitation Prepayment and DRG Payment in Compact County-level Medical Consortium: from the Perspective of Holistic Governance [PDF]

Zhongguo quanke yixue
Background All regions in China are actively promoting the reform of the prepaid payment method for the total amount of medical insurance in the context of the integrated medical community. However, the integration of DRG/DIP payment and the total amount
ZHANG Zixun, YIN Gang, BIAN Ying, TAO Hongbing
doaj   +1 more source

Group Consultations for Type 2 Diabetes Management in Danish General Practice: Perceived Benefits, Needs, and Optimal Design Perceived by Future Users

Lifestyle Medicine, Volume 7, Issue 2, April 2026.
ABSTRACT Background Group consultations (GCs) are increasingly proposed to support lifestyle‐related chronic conditions such as Type 2 diabetes (T2D) in primary care, yet evidence on how to design and implement GCs in Danish general practice is limited.
Rasmus Dahl‐Larsen, Pernille Ravn Jakobsen, Jens Søndergaard, Jan Erik Henriksen, Elisabeth Assing Hvidt   +4 more
wiley   +1 more source

Supporting General Practitioners to Deprescribe Benzodiazepines and Z‐Drugs in Primary Care: Findings From a Modified Delphi Study

Basic &Clinical Pharmacology &Toxicology, Volume 138, Issue 4, April 2026.
ABSTRACT Long‐term use of benzodiazepines and Z‐drugs (collectively known as benzodiazepine receptor agonists; BZRAs) is associated with a range of adverse effects including dependence and withdrawal on stopping or reducing the dose. Deprescribing is recommended to improve patient outcomes and reduce medication‐related harm, but its implementation in ...
Erin Oldenhof, Megan Pisegna, Mark Horowitz, Hester Wilson, Karen Gelb, Stephen Trumble, Catherine Andronis, Marguerite Tracy, Nicholas A. Zwar, Andrew Mau, Anna Chapman, Petra K. Staiger   +11 more
wiley   +1 more source

Provider payments and patient charges as policy tools for cost-containment: How successful are they in high-income countries?

Human Resources for Health, 2003
In this paper, we focus on those policy instruments with monetary incentives that are used to contain public health expenditure in high-income countries.
Hanvoravongchai Piya, Carrin Guy
doaj   +1 more source

Impact of changing provider remuneration on NHS general dental practitioner services in Northern Ireland: a mixed-methods study

Health Services and Delivery Research, 2020
Background: Policy-makers wanted to reform the NHS dental contract in Northern Ireland to contain costs, secure access and incentivise prevention and quality.
Paul Brocklehurst, Martin Tickle, Stephen Birch, Ruth McDonald, Tanya Walsh, Tom Lloyd Goodwin, Harry Hill, Elizabeth Howarth, Michael Donaldson, Donncha O’Carolan, Sandy Fitzpatrick, Gillian McCrory, Carolyn Slee   +12 more
doaj   +1 more source

Managed Care: An Industry Snapshot

Inquiry: The Journal of Health Care Organization, Provision, and Financing, 2002
Together with the American Association of Health Plans (AAHP), we surveyed health maintenance organizations (HMOs) in 1998 to characterize their basic structure and management strategies.

doaj   +1 more source

Loss ratio of the capitation payment unit of the health-promoting entities in Colombia between 2017 and 2021: a financial-actuarial approach. [PDF]

Cost Eff Resour Alloc, 2023
Espinosa O, Rodríguez J, Urdinola BP, Do Nascimento Silva PL, Sánchez A, Arias ML, Valdez EA, Cheng T, Fisher SE.   +8 more
europepmc   +1 more source