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Value-Based Payment Models In The Commercial Insurance Sector: A Systematic Review.
Health Affairs, 2022Value-based payment models are a prominent strategy in health reform. Although Medicare payment models have been extensively evaluated, much less is known about value-based payment models in the commercial insurance sector.
Marina Milad +3 more
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Medicare's Bundled Payment Models-Progress and Pitfalls.
Journal of the American Medical Association (JAMA), 2022The Centers for Medicare & Medicaid Services (CMS) is moving increasingly toward alternative payment models that incentivize high-quality, low-cost care. Bundled payments, for example, now cover medical, procedural, and therapeutic episodes, from a broad
Karen E. Joynt Maddox +2 more
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Encyclopedia of Gerontology and Population Aging, 2021
M. Jeremiah, K. Harmes
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M. Jeremiah, K. Harmes
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Payment Models to Coordinate Healthcare Providers with Partial Attribution of Outcome Costs
Manufacturing & Service Operations Management, 2021Problem definition: In many healthcare systems, general practitioners refer patients to specialists, who make treatment decisions under limited capacity.
S. Rajagopalan, Chunyang Tong
semanticscholar +1 more source
Journal of Arthroplasty, 2019
BACKGROUND Value-based payment programs in orthopedics, specifically primary total hip arthroplasty (THA), present opportunities to apply forecasting machine learning techniques to adjust payment models to a specific patient or population.
P. Ramkumar +7 more
semanticscholar +1 more source
BACKGROUND Value-based payment programs in orthopedics, specifically primary total hip arthroplasty (THA), present opportunities to apply forecasting machine learning techniques to adjust payment models to a specific patient or population.
P. Ramkumar +7 more
semanticscholar +1 more source
Journal of the American Academy of Orthopaedic Surgeons, 2020
BACKGROUND Alternative payment models have been proposed to deliver high-quality, cost-effective care. Under these models, payments may be shared between the hospital and the post-acute care services. Post-acute care services may account for one-third of
Michael D Rudy +3 more
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BACKGROUND Alternative payment models have been proposed to deliver high-quality, cost-effective care. Under these models, payments may be shared between the hospital and the post-acute care services. Post-acute care services may account for one-third of
Michael D Rudy +3 more
semanticscholar +1 more source
Patient-Driven Payment Model Checkup
The Senior Care Pharmacist, 2020Despite initial worries, the new patient-driven payment model appears to have resulted in increased revenue for nursing facilities.
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When Should Medicare Mandate Participation In Alternative Payment Models?
Health Affairs, 2020The Centers for Medicare and Medicaid Services continues to propose and implement alternative payment models (APMs) to shift Medicare payment away from fee-for-service and toward approaches that emphasize health care value.
J. Liao, M. Pauly, A. Navathe
semanticscholar +1 more source
Journal of the American College of Radiology, 2017
The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 describes alternative payment models (APMs) as new approaches to health care payment that incentivize higher quality and value. MACRA incentivizes increasing APM participation by all physician specialties over the coming years.
Andrew B, Rosenkrantz +4 more
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The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 describes alternative payment models (APMs) as new approaches to health care payment that incentivize higher quality and value. MACRA incentivizes increasing APM participation by all physician specialties over the coming years.
Andrew B, Rosenkrantz +4 more
openaire +2 more sources
Understanding Alternative Payment Models
2020As the US health care system experiences increasing financial strain, policy makers have expressed heightened interest in identifying and developing alternatives to the predominantly fee-for-service payment system that exists in this country. This chapter provides a brief history of provider payment models and, with this background, explores the more ...
Adam J. Schwartz, Kevin Bozic
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