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Value-Based Insurance Design
Methodological Effects on the Measurement of Repeat Hospitalizations
The rates of potentially preventable readmissions vary across measurement methodologies which explains inconsistencies in previous studies. Results suggest measurement of readmissions incentivizes inefficient behavior.
Is the Medicare Bundled Payments for Care Improvement Initiative Designed to Succeed?
Providers’ perspectives point to key considerations for policy makers as they seek to broaden participation in the Bundled Payments for Care Improvement Initiative.
Leader Perceptions of Multi-Sectoral Healthcare Alliance Response to Health Reforms
The authors investigated multi-sectoral healthcare alliance responses to the ACA and whether these responses differed between states supportive and unsupportive of health reform.
Value-Based Purchasing Versus Consumerism: Navigating the Riptide
Keeping afloat by understanding the Affordable Care Act, managed care, consumerism, and transparency from the perspective of purchasers, providers, and consumers.
Insured but Not Covered—Using Clinical Nuance to Create “Smarter Deductibles”
Stakeholders Agree on Major Updates to the Medicare Shared Savings Program
Public comments on the first ever update to the Medicare Shared Savings Program are in. Conceptually, there is an astounding level of consensus, but it is the details that can make or break an ACO.
Leaving Fee-for-Service Behind by Embracing a Safety Model
The time is now for primary care physicians to take a proactive approach in ensuring safety as a means of attaining accountability.
Financially Benchmarking Accountable Care Organizations: What Improvements Can Be Made in the Near Term?
Recommendations on the best improvements CMS can make in the near term through the current rule-making process in establishing, updating, and resetting ACO financial benchmarks.
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