Why Does Health Care Cost More in the United States?
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.
Reimbursement Issues
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What is PROMETHEUS Payment?
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.
Coverage When it Counts
May 1, 2009 | Report
This report suggests a new method for developing benchmarks to illustrate some types and costs of medical care consumers might need under a variety of scenarios, and for evaluating health insurance protection using these benchmarks.
Medicare Reimbursements Short-Changed Preventive Coordination
March 8, 2011 | Story
Study by RWJF Clinical Scholar identifies disconnect between preventive care recommendations and reimbursement that health reform may help alleviate.
Post Claims Underwriting and Rescission Practices
January 1, 2009 | Report
Study details regulations and enforcement needed to fill gaps in protecting consumers in insurance markets.
Prometheus Payment
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.
Clinical Scholar Finds Medicare Reimbursements Don't Align with Preventive Care Recommendations
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 ...
Patient Costs as a Barrier to Intensive Health Behavior Counseling
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.
Child FIRST Develops an Evidence-Based Early Childhood Intervention
February 5, 2013 | Program Result
Child FIRST is a home-based early childhood intervention that works with the most vulnerable very young children and their families to reduce serious emotional disturbance, developmental and learning problems, and abuse and neglect.
The Effect of Reimbursement on Medical Decision Making
October 1, 2009 | Journal Article
Capitated managed care contracted physicians make treatment decisions that are not inconsistent with profit-maximization. Due to great physician efficiency, halting of unnecessary procedures or skimping on care, this article shows that capitation is affecting the practice of medicine.