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Payment Systems

Global Payments Change Spending & Quality

In an effort to slow the growth of health care spending, Blue Cross Blue Shield (BCBS) of Massachusetts, an early reform state, entered into alternative quality contracts (AQC) with providers. AQCs are two-sided contracts that share savings if [...]

January 17, 2015 // 1 Comment

Taking a Lesson from Taiwan

Government payers like are attempting to move away from the current fee-for-service model of health care billing—which some believe provides incentive for doctors to perform unnecessary tests and procedures—in favor of a new payment model: [...]

January 10, 2015 // 0 Comments

Will Medicaid gains offset DSH cuts?

The Disproportionate Share Hospital (DSH) program was developed to provide financial assistance for hospitals that care for large numbers of Medicaid and uninsured patients. During the development of the Affordable Care Act (ACA), policymakers [...]

September 20, 2014 // 3 Comments

Incentivizing health over fee-for-service

In 2006, the Centers for Medicare and Medicaid Services started the Physician Quality Reporting System, or PQRS. PQRS operates on the premise that required reporting of specific delivery-of-care metrics will induce the necessary behavioral changes [...]

August 25, 2014 // 0 Comments

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