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Reimbursement Issues

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  • Topic: Reimbursement issues
  • Topic: Public reporting/transparency
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  • Financial barriers to care (8)
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featured

Transparency in Health Care Pricing

May 8, 2013 | Feature

Newly released federal data shows pricing for common inpatient procedures varies greatly, and allows consumers to see how hospital charges in their area compare nationally and regionally for the same procedure.

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.

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.

What are Prometheus Payment Evidence-Informed Case Rates?

September 4, 2009 | Issue Brief

This brief explains Evidence-informed Case Rates (ECRs), the core element of the PROMETHEUS Payment model.

What is PROMETHEUS Payment?

June 10, 2009 | Issue Brief

This brief explains the three essential elements of PROMETHEUS Payment and how it offers a realistic, rational and sustainable blueprint for a new health care payment system.

Prometheus Payment

January 1, 2009 | Report

This report describes the PROMETHEUS scorecard approach, the principles of scoring, the sources of the measures, how scores are calculated and the impact on payment.

Testing PROMETHEUS Payment

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.

Show Them the Money

April 1, 2007 | Program Result Report

The Legal Action Center of the City of New York designed, printed and distributed Resources for Recovery: State Policy Options for Increasing Access to Alcohol and Drug Treatment Through Medicaid & TANF.

Pay-for-Quality Concept Rewards Physicians, Hospitals for Providing Quality Health Care

October 1, 2004 | Program Result Report

Four organizations planned projects to demonstrate the use of financial incentives to reward providers for delivering high-quality health care.

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