Advocates for Evidence-Based Health Policy Speakers
Category: Payment Systems
Expanding ACO’s Beyond Medicare
In 2012, the Center for Medicaid and Medicare Services (CMS) implemented a novel program in their efforts toward achieving the Triple Aim: Thirty-two organizations with experience in care coordination enrolled in the Medicare Pioneer accountable care organization program. During the Continue Reading …
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 spending is Continue Reading …
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: . Pay-for-performance programs link performance Continue Reading …
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 reevaluated the program’s funding as they Continue Reading …
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 and infrastructural investment to better Continue Reading …
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