Health Plan Contracting
February 27, 2011 | Toolkit
A fundamental question in contracting for an ECR with an existing provider organization is whether to make ECR payments prospectively or retrospectively.
Provider Incentives
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Medicaid Expansion: Framing and Planning a Financial Impact Analysis
September 27, 2012 | Issue Brief
This report serves as a guide for states considering their own Medicaid expansion analysis.
Per Capita Caps in Medicaid
April 18, 2013 | Issue Brief
A proposal to limit the ballooning costs of Medicaid would put a cap on the amount of federal spending per beneficiary. Critics contend that a per capita cap would shift costs to the states and thereby limit access to care.
Bending the Curve: Person-Centered Health Care Reform
April 29, 2013 | Report
Experts recommend solutions for closing the gaps in quality and efficiency of health care.
A Bipartisan Rx for Patient-Centered Care and System-Wide Cost Containment
April 18, 2013 | Report
The Bipartisan Policy Center recommends ways to contain health care spending while improving the quality and affordability of care.
Shared Decision-Making and Benefit Design
April 1, 2013 | Report
More than 8 out of 10 adults over age 40—including employees—are making decisions about their health and health care on a regular basis
Moving Payment from Volume to Value
December 1, 2010 | Report
Policy brief explores differing views on the role of performance measurement in value-based payment.
The Impact of Profitability of Hospital Admissions on Mortality
April 1, 2013 | Journal Article
When hospital service line profit goes down, mortality goes up.
Small Physician Practices in New York Needed Sustained Help to Realize Gains in Quality from Use of Electronic Health Records
January 1, 2013 | Journal Article
The 2009 American Recovery and Reinvestment Act spurred adoption of electronic health records (EHRs) in the United States, through such measures as financial incentives to providers through Medicare and Medicaid and regional extension centers, which provide ongoing technical assistance to practices.
The Fundamentals: How the Model Works
February 27, 2011 | Toolkit
Measures are based on commonly accepted clinical guidelines or expert opinions that define the best methods for treating a given condition from beginning to end.