Health Policy
September 17, 2012 | Feature/Topic
Browse research, insight and analysis on key issues affecting health and health care in the United States.
Payment Reform
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Payment Reform: Bundled Episodes vs. Global Payments
September 6, 2012 | Report/Issue Brief
This issue brief presents a frank assessment of the merits and drawbacks of two payment models, bundled payments and global capitation, through a debate between Francois de Brantes and Robert Berenson.
What Models of Payment Reform Hold the Most Promise?
January 1, 2012 | Issue Brief
Policy-makers are considering a number of models to reform the payment system, including accountable care organizations, patient-centered medical homes, comprehensive care payment and episode-based payment.
In Setting Doctors' Medicare Fees, CMS Almost Always Accepts the Relative Value Update Panel's Advice on Work Values
May 1, 2012 | Journal Article
To calculate physicians' fees under Medicare, which in turn influence the physician fee schedules of other public and private payers, one of the essential decisions the Centers for Medicare and Medicaid Services must make is how much physician time and effort, or work, is associated with various physician services.
The PROMETHEUS Bundled Payment Experiment
November 1, 2011 | Journal Article
One of the leading alternative payment models proposed in the Affordable Care Act of 2010 is bundled payment, which provides payment for all of the care a patient needs over the course of a defined clinical episode, instead of paying for each discrete service. We evaluated the initial "road test" of PROMETHEUS Payment, one of several bundled payment pilot projects.
Making Reform a Reality
June 17, 2010 | Report
Practical ways to successfully manage the multifaceted implementation challenges inherent with payment reform initiatives, using lessons learned from previous efforts.
Charting a Path for Health Care Payment Reform
June 1, 2010 | Issue Brief
A set of general, high level recommendations to the field of relevant policymakers and health care stakeholders regarding pragmatic next steps necessary for payment reforms.
Perspectives on Pay for Performance in Nursing
November 1, 2009 | Issue Brief
The November 2009 issue of Charting Nursing's Future offers the perspectives of leading experts on the challenges and possibilities of pay for performance in nursing.
Health Insurance Reform Project Identifies New Ideas to Improve Federal Health Policy - Voluntary Chronic Care Improvement Programs and Tax Credits
January 17, 2011 | Program Result Report
The Health Insurance Reform Project worked to develop and advance new ideas to improve federal health policy, focusing primarily on improving quality in Medicare and expanding health insurance coverage nationally.
Quality-Based Payment for Medical Groups and Individual Physicians
July 1, 2009 | Journal Article
This survey on quality-based payment found that the prevalence of external performance bonuses paid by insurers to large medical groups is larger than the prevalence of performance bonuses paid by the medical groups to the primary care and specialist physicians.
Building a Case for Payment Reform
June 17, 2010 | Book
Our payment system should reward providers for giving patients the right care at the right time. RWJF is supporting research into how this vision can be made a reality.