3. The Science of Work and Payment Reform

2016 ◽  
pp. 47-89
Keyword(s):  
Payment Reform

Medicare Payment Reform: Aligning Incentives for Better Care

2015 ◽  
Author(s):  
Gerard F. Anderson Anderson ◽  
Karen Davis Davis ◽  
Stuart Guterman Guterman
Keyword(s):  
Medicare Payment ◽  
Payment Reform

Payment Reform for Better Value and Medical Innovation

2017 ◽  
Vol 7 (3) ◽  
Author(s):  
Mark B. McClellan ◽  
◽  
David T. Feinberg ◽  
Peter B. Bach ◽  
Paul Chew ◽  
...  
Keyword(s):  
Medical Innovation ◽  
Payment Reform

Physician Payment Reform

JAMA ◽  
1994 ◽  
Vol 272 (24) ◽  
pp. 1890
Author(s):  
Bruce C. Vladeċk
Keyword(s):  
Physician Payment ◽  
Payment Reform

Perspectives: Physician Payment Reform: Lessons From Abroad

1989 ◽  
Vol 8 (4) ◽  
pp. 76-83 ◽  
Author(s):  
Victor G. Rodwin
Keyword(s):  
Physician Payment ◽  
Payment Reform

scholarly journals A Case-Mix System for Children and Youth With Developmental Disabilities

2020 ◽  
Vol 13 ◽  
pp. 117863292097789
Author(s):  
Shannon L Stewart ◽  
Angela Celebre ◽  
Michael J Head ◽  
Mary L James ◽  
Lynn Martin ◽  
...  
Keyword(s):  
Developmental Disabilities ◽  
Prospective Payment System ◽  
Individual Characteristics ◽  
Children And Youth ◽  
Case Mix ◽  
Care Needs ◽  
Payment Reform ◽  
Home Setting ◽  
Service Programs ◽  
The Cost

Limited funding across health and social service programs presents a challenge regarding how to best match resources to the needs of the population. There is increasing consensus that differences in individual characteristics and care needs should be reflected in variations in service costs, which has led to the development of case-mix systems. The present study sought to develop a new approach to allocate resources among children and youth with intellectual and developmental disabilities (IDD) as part of a system-wide Medicaid payment reform initiative in Arkansas. To develop the system, assessment data collected using the interRAI Child and Youth Mental Health-Developmental Disability instrument was matched to paid service claims. The sample consisted of 346 children and youth with developmental disabilities in the home setting. Using automatic interactions detection, individuals were sorted into unique, clinically relevant groups (ie, based on similar resource use) and a standardized relative measure of the cost of services provided to each group was calculated. The resulting case-mix system has 8 distinct, final groups and explains 30% of the variance in per diem costs. Our analyses indicate that this case-mix classification system could provide the foundation for a future prospective payment system that is centered around stability and equitability in the allocation of limited resources within this vulnerable population.

Radiation Oncology's Place in Payment Reform: ASTRO Advocates for a Place at the Table

2021 ◽  
pp. OP.21.00294
Author(s):  
Anne Hubbard ◽  
Constantine Mantz ◽  
Najeeb Mohideen ◽  
William Hartsell ◽  
Nikhil G. Thaker ◽  
...  
Keyword(s):  
Radiation Oncology ◽  
Payment Reform ◽  
Patient Decision Making ◽  
Current Form ◽  
True Value ◽  
Reporting Requirements ◽  
Patient Decision ◽  
American Society ◽  
Physician Patient ◽  
Therapy Treatment

In its current form, the Radiation Oncology Model (RO Model) prioritizes payment cuts over true value-based payment transformation. With significant modifications to the payment methodology, the reporting requirements, and recognition of the unique challenges faced by disadvantaged populations, the RO Model can protect patient access to care, preserve the physician-patient decision-making process, and ensure the delivery of high-quality, efficient radiation therapy treatment. The American Society for Radiation Oncology has spent several years advocating for a meaningful alternative payment model for radiation oncology and continues to push The Center for Medicare and Medicaid Innovation for changes to the RO Model that will recognize these key outcomes.

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