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April 2023 Kushal T. Kadakia, Anaeze C. Offodile,
US health care reform over the past decade has placed substantial focus on rewiring health care financing, specifically increasing provider accountability for utilization (i.e., cost) and/or outcomes. More
January 2023 Joseph T. Kannarkat, Soleil Shah, Natasha Parekh, Francis J. Crosson,
The Center for Medicare and Medicaid Innovation (CMMI) seeks to develop evidence-based alternative payment models (APM) to improve health care quality… More
January 2023 Denise A. Tyler, Zhanlian Feng, David C. Grabowski, Lawren Bercaw, Micah Segelman, Galina Khatutsky, Joyce Wang, Angela Gasdaska, Melvin J. Inger,
Context: In 2012, the Centers for Medicare and Medicaid Services implemented the Initiative to Reduce Avoidable Hospitalizations Among Nursing… More
October 2022 Kushal T. Kadakia, Zirui Song,
Rather than focusing on “clinical non-inferiority,” or whether the reform lowers spending without negatively affecting outcomes, the authors propose focusing first on improving health first and second on lowering the implications for spending second. More
October 2022 Rachel Tobey, James Maxwell, Eric Turer, Erin Singer, Zoe Lindenfeld, Robert S. Nocon, Allison Coleman, Joshua Bolton, Hank Hoang, Alek Sripipatana, Elbert S. Huang,
Context: Efforts are ongoing to advance value-based payment (VBP), and health centers serve as essential access points to comprehensive primary care… More
March 2022 Anne-marie Boxall,
To make progress implementing payment and delivery system reforms, state governments need to make genuine stakeholder engagement routine business, develop reforms that build on past successes, and ensure health reform is a top priority for bureaucrats and political leaders. More
August 2020 Christine A. Yee, Steven D. Pizer, Austin B. Frakt,
Context: Bundled payments have been promoted as an alternative to fee‐for‐service payments that can mitigate the incentives for service volume… More
January 2020 Sander Steenhuis, Jeroen Struijs, Xander Koolman, Johannes Ket, Eric van der Hijden,
Sander Steenhuis of the Talma Institute at Vrije Universiteit Amsterdam and colleagues report on their systematic literature review of the payment model, in which they identify and categorize 53 key elements that affect the bundled payment contract development process. More
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