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Payment Reform

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Report of the National Commission on Physician Payment Reform

March 4, 2013 | Issue Brief

The National Commission on Physician Payment Reform studies new ways to improve patient outcomes, while reining in costs.

Payment Matters: The ROI for Payment Reform

February 28, 2013 | Issue Brief

Five briefs from RWJF examine employers’ pilot programs testing four approaches to payment reform, including population-based payment, patient-centered medical homes, high-intensity primary care, and bundled payment.

AcademyHealth

April 15, 2013 | Grantee

Through an RWJF grant, AcademyHealth is looking into ways to advance payment and delivery reform activities.

Payment Reform: Bundled Episodes vs. Global Payments

September 6, 2012 | Report/Issue Brief

This issue brief presents a frank assessment of the merits and drawbacks of two payment models, bundled payments and global capitation, through a debate between Francois de Brantes and Robert Berenson.

What Models of Payment Reform Hold the Most Promise?

January 1, 2012 | Issue Brief

Policy-makers are considering a number of models to reform the payment system, including accountable care organizations, patient-centered medical homes, comprehensive care payment and episode-based payment.

In Setting Doctors' Medicare Fees, CMS Almost Always Accepts the Relative Value Update Panel's Advice on Work Values

May 1, 2012 | Journal Article

To calculate physicians' fees under Medicare, which in turn influence the physician fee schedules of other public and private payers, one of the essential decisions the Centers for Medicare and Medicaid Services must make is how much physician time and effort, or work, is associated with various physician services.

Testing PROMETHEUS Payment

September 17, 2012 | Program Result

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.

Talking about Health Care Payment Reform with U.S. Consumers

April 1, 2011 | Report

Report details research conducted to develop and test simple messages that explain the concepts of payment and delivery reform to consumers in ways they understand and support.

Talking with Physicians about Improving Payment and Reimbursement

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.

The PROMETHEUS Bundled Payment Experiment

November 1, 2011 | Journal Article

One of the leading alternative payment models proposed in the Affordable Care Act of 2010 is bundled payment, which provides payment for all of the care a patient needs over the course of a defined clinical episode, instead of paying for each discrete service. We evaluated the initial "road test" of PROMETHEUS Payment, one of several bundled payment pilot projects.

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