Articles with "payment models" as a keyword



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Leading on Payment and Delivery Reform in Cardiology

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

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

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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
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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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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
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An Observational Study of Provider Perspectives on Alternative Payment Models

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

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

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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