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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.
September 17, 2012 | Program Result Report
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.
June 17, 2010 | Report
Practical ways to successfully manage the multifaceted implementation challenges inherent with payment reform initiatives, using lessons learned from previous efforts.
February 27, 2011 | Toolkit
Funded by RWJF, the current pilot implementations are designed to test the validity of the PROMETHEUS model.
January 14, 2009 | Report
This primer provides an easy-to-understand explanation of the problems with current health care payment systems and describes alternative payment systems that will address these problems.
January 17, 2011 | Program Result Report
The Health Insurance Reform Project worked to develop and advance new ideas to improve federal health policy, focusing primarily on improving quality in Medicare and expanding health insurance coverage nationally.
April 18, 2013 | Report
The Bipartisan Policy Center recommends ways to contain health care spending while improving the quality and affordability of care.
September 1, 2009 | Journal Article
This study proposes two methods of payment reform that could facilitate higher quality and lower cost "episode-of-care payment" and "comprehensive care payment" (condition-adjusted capitation).
July 1, 2009 | Journal Article
This survey on quality-based payment found that the prevalence of external performance bonuses paid by insurers to large medical groups is larger than the prevalence of performance bonuses paid by the medical groups to the primary care and specialist physicians.
June 21, 2010 | Book
The sixth issue of the PROMETHEUS Payment® project’s newsletter provides brief updates on the program’s latest work to lead a revolution in health care payment and the way providers and insurers conduct business.