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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 1, 2010 | Journal Article
This article examines the influence of cost on patient use of behavioral counseling services. Smoking and obesity are two major public health challenges, but few health insurance plans cover counseling services to help individuals lose weight or stop smoking. Little is known about how the cost of behavioral counseling services affects the consumption of such services.
December 23, 2009 | Program Result Report
Researchers at the Rutgers University Center for State Health Policy convened a forum on the issues surrounding reimbursement of high-quality nursing care.
September 17, 2012 | Program Result Report
The Health Care Incentives Improvement Institute furthered the development and pilot testing of its Prometheus bundled payment model. Researchers at RAND and the Harvard School of Public Health evaluated the initiative at three pilot sites.
September 10, 2009 | Journal Article
The PROMETHEUS Payment approach seeks to promote and reward high-quality, efficient, patient-centered health care by using a novel method to pay hospitals and physicians and other providers. The PROMETHEUS Payment model consists of three components: evidence-informed base payments with patient-specific severity adjustments and an allowance for potentially avoidable complications.
September 4, 2009 | Issue Brief
This brief explains Evidence-informed Case Rates (ECRs), the core element of the PROMETHEUS Payment model.
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.
June 10, 2009 | Issue Brief
This brief explains the three essential elements of PROMETHEUS Payment and how it offers a realistic, rational and sustainable blueprint for a new health care payment system.
January 1, 2009 | Report
This report describes the PROMETHEUS scorecard approach, the principles of scoring, the sources of the measures, how scores are calculated and the impact on payment.