Association of Pioneer Accountable Care Organizations vs traditional Medicare fee for service with spending, utilization, and patient experience.
- David J. Nyweide, Woolton Lee, P. Conway
- MedicineJournal of the American Medical Association (JAMA…
- 2 June 2015
In the first 2 years of the Pioneer ACO Model, beneficiaries aligned with Pioneer ACOs exhibited smaller increases in total Medicare expenditures and differential reductions in utilization of different health services, with little difference in patient experience.
Association Between Hospital Participation in a Medicare Bundled Payment Initiative and Payments and Quality Outcomes for Lower Extremity Joint Replacement Episodes.
- L. Dummit, Daver C. Kahvecioglu, P. Conway
- Medicine, Political ScienceJournal of the American Medical Association (JAMA…
- 27 September 2016
In the first 21 months of the BPCI initiative, Medicare payments declined more for lower extremity joint replacement episodes provided in B PCI-participating hospitals than for those provided in comparison hospitals, without a significant change in quality outcomes.
Medicare's New Bundled Payments: Design, Strategy, and Evolution.
- M. Press, R. Rajkumar, P. Conway
- MedicineJournal of the American Medical Association (JAMA…
- 12 January 2016
The Centers for Medicare & Medicaid Services (CMS) is increasingly paying for health care through alternative payment models that reward value and quality, including accountable care organizations (ACOs), bundled payments, and advanced primary care medical homes.
State expenditures for tobacco-control programs and the tobacco settlement.
- C. Gross, B. Soffer, P. Bach, R. Rajkumar, H. Forman
- Medicine, Political ScienceNew England Journal of Medicine
- 3 October 2002
Because only a very small proportion of the tobacco settlement is being used for tobacco-control programs, the settlement represents an unrealized opportunity to reduce morbidity and mortality from smoking.
CMS--engaging multiple payers in payment reform.
- R. Rajkumar, P. Conway, M. Tavenner
- Medicine, Political ScienceJournal of the American Medical Association (JAMA…
- 21 May 2014
A framework for understanding payment reform is described that classifies payment models according to how clinicians and health care organizations are paid and creates a common vocabulary for describing the progression of payment reform.
Maryland's all-payer approach to delivery-system reform.
- R. Rajkumar, A. Patel, J. Sharfstein
- MedicineNew England Journal of Medicine
- 5 February 2014
Maryland, with its all-payer rate-setting system for hospital services, and the Centers for Medicare and Medicaid Services are launching a new model that will transform the state's delivery system…
Behavioral economics and physician compensation--promise and challenges.
- D. Khullar, D. Chokshi, R. Rajkumar
- EconomicsNew England Journal of Medicine
- 10 June 2015
Health care organizations embracing new payment models may find that applying behavioral economics can boost the effect of new incentives. By creating more favorable decision-making environments, we…
Reform at Risk - Mandating Participation in Alternative Payment Plans.
- S. Levy, Nicholas Bagley, R. Rajkumar
- MedicineNew England Journal of Medicine
- 2 May 2018
The Center for Medicare and Medicaid Innovation was meant to be the government’s innovation laboratory for health care, but HHS has quietly hobbled the agency, imperiling its ability to innovate and reform the system.
Centers for medicare and medicaid services: using an episode-based payment model to improve oncology care.
- R. M. Kline, C. Bazell, Erin Smith, Heidi Schumacher, R. Rajkumar, P. Conway
- MedicineJournal of Oncology Practice
- 17 February 2015
An episode-based model of oncology care that incorporates elements from several successful model tests is designed, hoped that this model will demonstrate how oncologists care in the US can transform into a high value, high quality system.
Two-Year Costs and Quality in the Comprehensive Primary Care Initiative.
- S. Dale, Arkadipta Ghosh, Randall S Brown
- Medicine, Political ScienceNew England Journal of Medicine
- 13 April 2016
Midway through this 4-year intervention, practices participating in the initiative have reported progress in transforming the delivery of primary care, but at this point these practices have not yet shown savings in expenditures for Medicare Parts A and B after accounting for care-management fees, nor have they shown an appreciable improvement in the quality of care or patient experience.
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