Advocates for Evidence-Based Health Policy Speakers
Category: Payment Systems
Reimbursement Rises Slower than Charges
Over the past 20 years, public payers have not kept pace with providers’ expectations Continue Reading …
Half of Increased Intensity of Care Unexplained
The drivers of the rise in complex ED visits is likely an interplay of changes in clinical practice, the growing role of the ED in treating complex conditions, the increasing complexity of our patient population, as well as thorough documentation. Continue Reading …
Readmission Program may worsen Mortality
When the Affordable Care Act (ACA) was enacted, a large majority of the subsequent attention focused on the obvious topic: increasing insurance coverage. While the main goal of the ACA was to increase access to care, the law also took Continue Reading …
Maryland’s Global Budget Disappoints
It seems simple: give hospitals one overall budget, instead of fee-for-service reimbursement, and they will cut how much they spend. Maryland set out with this plan to reduce health spending in 2010. They implemented global budgets for eight rural hospitals, Continue Reading …
Two Options to Slow Healthcare Costs
The holy grail of value-based care is to reduce costs while improving quality. Zhang, et. al. compared the success of two different insurance designs in achieving that goal for total joint replacement surgeries. One insurance plan implemented reference-based pricing (RBP), Continue Reading …
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