Advocates for Evidence-Based Health Policy Speakers
Category: Payment Systems
Holding Caregivers Accountable
Payers for health services have attempted to restructure payment methodologies to align provider incentives with the production of efficient and quality care. Accountable care organizations are the latest iteration of this trend. Section 3022 of the new health reform law Continue Reading …
Creating New Payment Strategies in Medicare
Traditional fee-for-service payments for health care services are inefficient and reward volume over quality. Likewise, the separate payments for outpatient, acute care, and subacute care do not promote coordination of services. Among the many changes created by the Patient Protection Continue Reading …
The Doc Fix
Medicare compensates physicians via a universal fee schedule. To limit costs, the “Sustainable Growth Rate” (SGR) was adopted in 1997 to allow for increased Medicare expenditures based on national economic growth. The sustainable growth rate (SGR) is a statutory formula Continue Reading …
What if every Doc was paid Medicare rates?
Currently, physicians earn reimbursement from multiple different payers such as Medicaid, Medicare, and private insurers. If doctors were paid only according to Medicare rates, most would be losers – specialists more than others.
Redesigning Provider Payment
A recent Health Affairs article explored several options and considerations for converting the current system of provider payments into one where all payments are bundled together for a patient’s entire episode of care. Health care providers are compensated by several Continue Reading …