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February 7, 2012 | Human Capital Blog Post
In late January, the nation’s second-largest health insurer announced a new initiative designed to improve care and reduce costs by raising reimbursements for primary care. WellPoint will provide additional revenue to primary care providers for “non ...
October 25, 2010 | Journal Article
Most physicians believe that Medicare reimbursements are inequitable but do not agree on how to reform the payment system. Physicians' views may be helpful in optimizing the design of any reimbursement reforms. The researchers of this study solicited their opinions regarding three reform strategies.
June 1, 2010 | Journal Article
The U.S. system of billing third parties for health care services is complex, expensive and inefficient. This study examines excessive administrative complexity from a focused and potentially practical perspective.
February 21, 2013 | Journal Article
Researchers raise significant questions about the risk adjustment that Medicare and others apply to insurance claims data.
September 8, 2011 | Story
RWJF Scholars compare fees for physicians in the United States to other advanced countries and find they are significantly higher here.
June 4, 2013 | Journal Article
This article summarizes California’s Hospital Fair Pricing Act, which was passed in 2006 with the intent of protecting low-income uninsured patients from having to pay hospitals’ full billed charges.
April 1, 2011 | Report
Report details research conducted to develop and test simple messages that will help local AF4Q leaders begin discussions about payment and delivery reforms with physicians in their community.
March 8, 2011 | Story
Study by RWJF Clinical Scholar identifies disconnect between preventive care recommendations and reimbursement that health reform may help alleviate.
January 20, 2011 | Human Capital Blog Post
A newly released study from RWJF Clinical Scholar (2009-2011) Lenard Lesser, M.D., finds that Medicare covers only a fraction of the preventive care services recommended by a government task force, and that health care reform should be able to mend ...
April 1, 2013 | Journal Article
When hospital service line profit goes down, mortality goes up.