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Payment Reform

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The Cost of Interacting with Insurance Plans

August 5, 2011 | Human Capital Blog Post

A study published in the August 2011 issue of Health Affairs finds that physician practices in the United States spend significantly more time and money interacting with payers than their counterparts in Canada. For nurses and medical assistants, th ...

Robert Wood Johnson Foundation Comments on Medicare Shared Savings Program

June 6, 2011 | Presentation Material

Recommendations for a more accountable future in American health care.

If Consumers and Purchasers Could Compare Health Care Quality, What Would It Do to Health Care?

June 10, 2013 | Program Result Report

The Consumer-Purchaser Disclosure Project promotes performance measurement as a tool to increase the transparency and accountability of the health care system, and advocates for more input from health care consumers and purchasers.

Fair Pricing Law Prompts Most California Hospitals To Adopt Policies To Protect Uninsured Patients From High Charges

June 4, 2013 | Journal Article

This article summarizes California’s Hospital Fair Pricing Act, which was passed in 2006 with the intent of protecting low-income uninsured patients from having to pay hospitals’ full billed charges.

The Aligning Forces For Quality Experience

June 4, 2013 | Journal Article

Aligning Forces for Quality is the Robert Wood Johnson Foundation's signature effort to improve the overall quality of health care in targeted communities, reduce racial and ethnic disparities in care, and provide models for national reform.

An Overview of the Administration's ACO Policy

May 16, 2011 | Story

This article discusses the legal framework of the Patient Protection and Affordable Care Act that created accountable care organizations (ACOs). ACOs are corporate entities that will generate savings for health care providers by promoting efficiency and improving performance.

The Slowdown in Health Care Spending in 2009-11 Reflected Factors Other Than the Weak Economy and Thus may Persist

May 6, 2013 | Journal Article

This study examines two factors that might account for slower health spending: job loss and benefit changes that shifted more costs to insured people.

Additional Reductions in Medicare Spending Growth Will Likely Require Shifting Costs to Beneficiaries

May 6, 2013 | Journal Article

The primary policy issue facing the U.S. health care system is the rate of spending growth in public programs, and solving that problem will probably require reforms to the entire health care sector.

Conclusion

February 27, 2011 | Toolkit

Prometheus payment

Engaging Providers and Payers

February 27, 2011 | Toolkit

Building clinical collaboration and a strong consensus behind the pilot will significantly improve your chances of success.

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