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   Articles with "payment models" as a keyword



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Leading on Payment and Delivery Reform in Cardiology

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recommendations! Published in 2017 at "JAMA Cardiology"

DOI: 10.1001/jamacardio.2016.4028

Abstract: Cardiologists are an ambitious and creative group, continually striving to relieve suffering from cardiovascular disease and extend the quality and quantity of life. As a result, cardiology is a field of technological firsts. From the… read more here.

Keywords: payment models; cardiology; payment; value ... See more keywords
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Next-Generation Alternative Payment Models in Oncology-Will Precision Preclude Participation?

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recommendations! Published in 2023 at "JAMA oncology"

DOI: 10.1001/jamaoncol.2022.7179

Abstract: This Viewpoint proposes 3 changes to the Enhancing Oncology Model of the US Centers for Medicare & Medicaid Services. read more here.

Keywords: oncology; models oncology; payment models; alternative payment ... See more keywords

Payment models in primary health care: A driver of the quantity and quality of medical laboratory utilization.

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recommendations! Published in 2019 at "Health economics"

DOI: 10.1002/hec.3927

Abstract: Physician payment models' incentives regarding many aspects of primary health care are not well understood. We focus on the case of medical laboratory utilization and examine how physicians' laboratory test ordering patterns change following a… read more here.

Keywords: payment models; payment; health; care ... See more keywords

Primary care payment models and avoidable hospitalizations in Ontario, Canada: A multivalued treatment effects analysis.

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recommendations! Published in 2024 at "Health economics"

DOI: 10.1002/hec.4872

Abstract: Improving access to primary care physicians' services may help reduce hospitalizations due to Ambulatory Care Sensitive Conditions (ACSCs). Ontario, Canada's most populous province, introduced blended payment models for primary care physicians in the early- to… read more here.

Keywords: primary care; care physicians; avoidable hospitalizations; care ... See more keywords

A delicate balance: Accountability for very high-cost patients in new payment models.

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recommendations! Published in 2019 at "Healthcare"

DOI: 10.1016/j.hjdsi.2019.100366

Abstract: Designing alternative payment models (APMs) to encourage providers to manage the needs of very complex patients while limiting providers' financial risk is a major challenge. Most APMs limit providers' financial risk for complex patients through… read more here.

Keywords: risk; payment models; cost patients; high cost ... See more keywords

New Payment Models: The Medicare Access and CHIP Reauthorization Act of 2015, Merit-based Incentive Payment System, Advanced Alternative Payment Models, Bundling, Value-Based Care, Quadruple Aim, and Big Data: What Do They Mean for Otolaryngology?

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recommendations! Published in 2022 at "Otolaryngologic clinics of North America"

DOI: 10.1016/j.otc.2021.07.009

Abstract: New payment models have been introduced by the Centers for Medicare and Medicaid Services to move medicine away from volume-based care toward value-based care. Most models focus on changes for primary care, but specialists like… read more here.

Keywords: payment models; based care; payment; new payment ... See more keywords

PD85 Are Current Payment Models For Integrated Care Promoting The Uptake of Medical Device Innovations?

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recommendations! Published in 2024 at "International Journal of Technology Assessment in Health Care"

DOI: 10.1017/s0266462324003350

Abstract: Introduction Integrated care (IC) is a patient-centered approach to the provision of health care that overcomes the fragmentation in the delivery of services that often occurs in older people with multiple comorbidities. Medical device innovations… read more here.

Keywords: payment; care; medical device; integrated care ... See more keywords

Payment models and the sustainability of community pharmacy practice: a qualitative interview study with community pharmacists

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recommendations! Published in 2025 at "Journal of Pharmaceutical Policy and Practice"

DOI: 10.1080/20523211.2025.2450018

Abstract: ABSTRACT Background The sustainability of community pharmacies in the United States depends, in large part, on policies enacted by the Centers for Medicare and Medicaid Services (CMS). In 2003, CMS policy allowed retrospective direct and… read more here.

Keywords: community pharmacists; practice; theme describes; community ... See more keywords
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An Observational Study of Provider Perspectives on Alternative Payment Models

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recommendations! Published in 2017 at "Population Health Management"

DOI: 10.1089/pop.2016.0128

Abstract: Abstract Over the past decade, reimbursement in the US health care system has undergone rapid transformation. The Affordable Care Act and the Medicare Access and CHIP Reauthorization Act are some of the many changes challenging… read more here.

Keywords: study provider; alternative payment; observational study; payment models ... See more keywords

ACO Investment Model Produced Savings, But The Majority Of Participants Exited When Faced With Downside Risk.

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recommendations! Published in 2022 at "Health affairs"

DOI: 10.1377/hlthaff.2020.01819

Abstract: Medicare's Accountable Care Organization (ACO) Investment Model (AIM) provided up-front funding to forty-one small, rurally located ACOs to encourage their participation in the Medicare Shared Savings Program. We estimate net savings to Medicare of $381.5… read more here.

Keywords: investment model; payment models; risk; care ... See more keywords

Value-Based Payment Models In The Commercial Insurance Sector: A Systematic Review.

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recommendations! Published in 2022 at "Health affairs"

DOI: 10.1377/hlthaff.2021.01020

Abstract: Value-based payment models are a prominent strategy in health reform. Although Medicare payment models have been extensively evaluated, much less is known about value-based payment models in the commercial insurance sector. We performed the first… read more here.

Keywords: based payment; payment models; value; payment ... See more keywords