Health Plan Contracting
February 27, 2011 | Toolkit
A fundamental question in contracting for an ECR with an existing provider organization is whether to make ECR payments prospectively or retrospectively.
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Improving Evaluations of Value-Based Purchasing Programs
October 1, 2010 | Journal Article
Although there is an eagerness to understand more about value-based purchasing (VBP) in health care, research methods examining the impact and implementation of the programs must be improved, according to this essay in Health Service Research in 2020.
A Community-Level Effort to Motivate Physician Participation in the National Committee for Quality Assurance Diabetes Physician Recognition Program
June 1, 2010 | Journal Article
This case study involved a regional QI initiative to improve delivery of care to people with diabetes. Pay for participation may be a viable strategy to promote quality improvement in primary care practices.
Rewarding Results: Aligning Incentives with High-Quality Health Care
October 15, 2009 | Program Result Report
Rewarding Results: Aligning Payments with High-Quality Health Care was a national program of RWJF and California HealthCare Foundation that tested the use of financial incentives to improve the quality of health care.
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.
Pay-for-Performance
October 11, 2012 | Issue Brief
"Pay-for-performance" programs are supposed to replace traditional fee-for-service care under the Affordable Care Act. Yet studies show pay-for-performance programs have yielded mixed results.
Medicaid Expansion: Framing and Planning a Financial Impact Analysis
September 27, 2012 | Issue Brief
This report serves as a guide for states considering their own Medicaid expansion analysis.
New Commission Chaired by Bill Frist and Former Robert Wood Johnson Foundation President to Assess how Physicians are Paid
January 1, 2012 | News Release
A new independent commission, chaired by Dr. Steve Schroeder, former president of the Robert Wood Johnson Foundation, will assess how physicians are paid and how pay incentives are linked to patient care.
Bending the Curve: Person-Centered Health Care Reform
April 29, 2013 | Report
Experts recommend solutions for closing the gaps in quality and efficiency of health care.
Prometheus Payment
February 28, 2011 | Toolkit
Toolkit is designed to provide the information needed to gain a solid understanding of the PROMETHEUS Payment model, consider the potential benefits of a pilot implementation and take action.