Accountable care delivery and payment structures: An overview
The U.S. health care system encompasses myriad delivery and payment structures, with each uniquely shaped by the economics of the ultimate payer—whether that payer is the government, employers, or...
View ArticleRead of the week: Evolution of the primary care physician
The uncertain future of health care in the United States creates numerous questions about the role of the primary care physician in emerging and as-yet undiscovered care delivery models. Continue...
View ArticleAccountable care delivery and payment structures: Medicare shared-savings...
The Medicare shared-savings program is a new accountable delivery structure, designed to encourage fee-for-service Medicare providers to form accountable care organizations that improve the efficiency...
View ArticleAccountable care delivery and payment structures: Pioneer accountable care...
The Pioneer accountable care organization model is a Center for Medicare and Medicaid Services pilot program for experienced accountable delivery systems. It is designed to test innovative payment...
View ArticleAccountable care delivery and payment structures: State health insurance...
State insurance exchanges are a marketplace for individuals, families, and small businesses to compare and purchase health insurance. The exchanges make comparing plan benefits and costs simple, and...
View ArticleAccountable care delivery and payment structures: Medicare Advantage with...
The textbook Medicare Advantage program does not share risk with physicians or function as an accountable delivery system; however, the shared-risk MA structure — with its well-established guidelines...
View ArticleRead of the week: Care redesign to improve the value of health care
The New England Journal of Medicine this week released a health policy report on a care redesign process in use by Partners HealthCare System that aims to improve the value of care while remaining...
View ArticleAccountable care delivery and payment structures: Medicaid health maintenance...
Medicaid is one of the nation’s longest-established health care entitlement programs, designed to serve the most economically disadvantaged and vulnerable individuals. Each state runs its own Medicaid...
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