Blog Post
Government Shutdown: How Might It Affect Public Health Services?
As the budget debate on Capitol Hill continues, NewPublicHealth spoke with the Department of Health and Human Services to get a rundown on a...
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Fostering Accountable Health Care
Moving Forward In Medicare
To succeed, health care reform must slow spending growth while improving quality. The authors propose a new approach to help achieve more integrated and efficient care by fostering local organizational accountability for quality and costs through performance measurement and “shared savings” payment reform. The approach is practical and feasible: it is voluntary for providers, builds on current referral patterns, requires no change in benefits or lock-in for beneficiaries, and offers the possibility of sustained provider incomes even as total costs are constrained. We simulate the potential expenditure impact and show that significant Medicare savings are possible.