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Association of Pioneer Accountable Care Organizations vs traditional Medicare fee for service with spending, utilization, and patient experience.
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. Expand
Association Between Hospital Participation in a Medicare Bundled Payment Initiative and Payments and Quality Outcomes for Lower Extremity Joint Replacement Episodes.
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. Expand
Medicare's New Bundled Payments: Design, Strategy, and Evolution.
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. Expand
CMS--engaging multiple payers in payment reform.
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. Expand
State expenditures for tobacco-control programs and the tobacco settlement.
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. Expand
Maryland's all-payer approach to delivery-system reform.
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 systemExpand
Two-Year Costs and Quality in the Comprehensive Primary Care Initiative.
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. Expand
Behavioral economics and physician compensation--promise and challenges.
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, weExpand
Maryland's Global Hospital Budgets--Preliminary Results from an All-Payer Model.
In the first year of Maryland's experiment in setting all-payer rates for hospital services, costs were contained and the quality of care improved, though the state still has high rates of hospitalExpand
Centers for medicare and medicaid services: using an episode-based payment model to improve oncology care.
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. Expand