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Reimbursement Issues

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Building a Bridge from Fragmentation to Accountability

September 10, 2009 | Journal Article

The PROMETHEUS Payment approach seeks to promote and reward high-quality, efficient, patient-centered health care by using a novel method to pay hospitals and physicians and other providers. The PROMETHEUS Payment model consists of three components: evidence-informed base payments with patient-specific severity adjustments and an allowance for potentially avoidable complications.

Quality-Based Payment for Medical Groups and Individual Physicians

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.

PROMETHEUS Payment Reform Quarterly Newsletter, Issue 6

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.

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.

PROMETHEUS Payment Reform Quarterly Newsletter, Issue 5

December 27, 2009 | Book

The fifth issue of the PROMETHEUS Payment project's quarterly newsletter provides updates on the program's work to ignite a transformation in health care payment and the way providers and insurers conduct business.

The Economics of Nursing: Conference Explores Reimbursement for Quality Nursing Care

December 23, 2009 | Program Result

Researchers at the Rutgers University Center for State Health Policy convened a forum on the issues surrounding reimbursement of high-quality nursing care.

Seizing Opportunities Under the Affordable Care Act for Transforming the Mental and Behavioral Health System

February 1, 2012 | Journal Article

Provisions of the Affordable Care Act offer extraordinary opportunities to insure many more people, reimburse previously unreimbursed services, integrate care using new information technology tools and treatment teams, confront complex chronic comorbidities, and adopt underused evidence-based interventions.

Health Care Financing and Organization Grant Recipient Works to Understand What the Uninsured Pay for Hospital Services

October 7, 2011 | Story

A Profile of Glenn A. Melnick, PhD.

An Emerging Middle Ground?

July 6, 2009 | Report

The report identifies and explores eight areas in which diverse business, medical and consumer interests are beginning to find middle ground and earn the support of bipartisan lawmakers.

Sensory Processing Difficulties and Autism Spectrum Disorders in Toddlers

March 3, 2011 | Toolkit

This presentation outlines sensory processing difficulties and autism spectrum disorders in toddlers, including: sensitivity and reaction to sensory input; biologic/temperamental disposition; care-giving milieu; autism diagnosis; intervention; and o ...

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