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February 7, 2012 | Human Capital Blog Post
In late January, the nation’s second-largest health insurer announced a new initiative designed to improve care and reduce costs by raising reimbursements for primary care. WellPoint will provide additional revenue to primary care providers for “non ...
October 25, 2010 | Journal Article
Most physicians believe that Medicare reimbursements are inequitable but do not agree on how to reform the payment system. Physicians' views may be helpful in optimizing the design of any reimbursement reforms. The researchers of this study solicited their opinions regarding three reform strategies.
June 1, 2010 | Journal Article
The U.S. system of billing third parties for health care services is complex, expensive and inefficient. This study examines excessive administrative complexity from a focused and potentially practical perspective.
February 21, 2013 | Journal Article
Researchers raise significant questions about the risk adjustment that Medicare and others apply to insurance claims data.
March 19, 2013 | Issue Brief
This report looks at whether hospitals stand to gain more revenue under the ACA's Medicaid expansion compared with if no states expand Medicaid eligibility.
March 4, 2013 | Issue Brief
The National Commission on Physician Payment Reform studies new ways to improve patient outcomes, while reining in costs.
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.
December 2, 2010 | Issue Brief
Brief analyzes ramifications of passing and not passing “Doc fix” legislation.
April 1, 2013 | Journal Article
When hospital service line profit goes down, mortality goes up.
September 4, 2009 | Issue Brief
This brief explains Evidence-informed Case Rates (ECRs), the core element of the PROMETHEUS Payment model.