United States Health Care Reform in 2009: A Primer for Gastroenterologists

Clinical Gastroenterology and Hepatology

Volumn 7, Issue 11, 2009, Pages 1168-1173

  Dorn, Spencer D ^a  

^a UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ELECTRONIC MEDICAL RECORD; GASTROENTEROLOGIST; HEALTH CARE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE ORGANIZATION; HEALTH CARE POLICY; HEALTH INSURANCE; INFORMATION TECHNOLOGY; MEDICAL FEE; MEDICAL PRACTICE; MEDICAL RESEARCH; PHYSICIAN; UNITED STATES;

GASTROINTESTINAL DISEASES; HEALTH CARE REFORM; HEALTH SERVICES ADMINISTRATION; HUMANS; INSURANCE, HEALTH; UNITED STATES;

EID: 70649083605     PISSN: 15423565     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cgh.2009.07.018     Document Type: Article

References (54)

1. Catlin A., Cowan C., Hartman M., et al. National health spending in 2006: a year of change for prescription drugs. Health Aff (Millwood) 27 (2008) 14-29
2. Sisko A., Truffer C., Smith S., et al. Health spending projections through 2018: recession effects add uncertainty to the outlook. Health Aff (Millwood) 28 (2009) w346-w357
3. Orszag P.R., and Ellis P. The challenge of rising health care costs-a view from the Congressional Budget Office. N Engl J Med 357 (2007) 1793-1795
4. Davis K., Schoen C., and Schoenbaum S.C. Mirror, mirror on the wall: an international update on the comparative performance of American health care (2007), The Commonwealth Fund, New York, NY
5. The American Recovery and Reinvestment Act HR, P.L. 111-5, 123 Stat 115 (Feb. 19, 2009).
6. Executive Office of the President of the United States. Office of Management and Budget. A new era of responsibility: renewing America's promise. http://www.gpoaccess.gov/usbudget/fy10/pdf/fy10-newera.pdf Accessed February 23, 2009
7. Kaiser Family Foundation. The uninsured: a primer (2004), Kaiser Family Foundation, Menlo Park, CA
8. Obama B. Affordable health care for all Americans: the Obama-Biden plan. JAMA 300 (2008) 1927-1928
9. Shelis J. Harmonizing the Baucus and Wyden/Bennett health reform proposals: technical feasibility (2009), The Lewin Group, Falls Church, VA
10. Auerbach J. Health care reform in Massachusetts: the role of public health. http://www.aamc.org/advocacy/healthfunding/publichealth/auerbach09.pdf Accessed June 10, 2009
11. Miller H.D. Creating payment systems to accelerate value-driven health care: issues and options for policy reform (2007), The Commonwealth Fund, New York, NY
12. Tollen L.A., and Fund C. Physician organization in relation to quality and efficiency of care: a synthesis of recent literature (2008), The Commonwealth Fund, New York, NY
13. Fisher E.S., Wennberg D.E., Stukel T.A., et al. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med 138 (2003) 273-287
14. Bodenheimer T., Matin M., and Yoshio Laing B. The specialist-generalist income gap: can we narrow it?. J Gen Intern Med 23 (2008) 1539-1541
15. Rosenthal M.B. Beyond pay for performance-emerging models of provider-payment reform. N Engl J Med 359 (2008) 1197-1200
16. Smith S.L., Eagle R., and Klemp T. Coding and medical information G, American Medical A. Medicare RBRVS: the physicians' guide, 2006 (2006), American Medical Association, Chicago, IL
17. Wilensky G.R. Reforming Medicare's physician payment system. N Engl J Med 360 (2009) 653-655
18. American Medical Association. Medicare physician payment reform. http://www.ama-assn.org/ama1/pub/upload/mm/399/hsr-medicare-reform.pdf Accessed February 22, 2009
19. Iglehart J.K. Linking compensation to quality-Medicare payments to physicians. N Engl J Med 353 (2005) 870-872
20. Wodchis W.P., Ross J.S., and Detsky A.S. Is P4P really FFS?. JAMA 298 (2007) 1797-1799
21. Centers for Medicare and Medicaid Services. 2009 PQRI measures list. http://www.cms.hhs.gov/PQRI/Downloads/2009_PQRI_MeasuresList_030409.pdf Accessed February 20, 2009
22. Shaman H. What you need to know about pay for performance. Healthc Financ Manage 62 (2008) 92-96
23. Epstein A.M. Pay for performance at the tipping point. N Engl J Med 356 (2007) 515-517
24. Snyder L., and Neubauer R.L. Pay-for-performance principles that promote patient-centered care: an ethics manifesto. Ann Intern Med 147 (2007) 792-794
25. Rosenthal M.B. Nonpayment for performance?. Medicare's new reimbursement rule. N Engl J Med 357 (2007) 1573-1575
26. Miller M.E. Report to the Congress: reforming the delivery system (2008), Medical Payment Advisory Commission, Washington, DC September 16
27. Agency for Healthcare Research and Quality. Innovation profile: use of clinical "bundles," fixed pricing, and patient compact enhances adherence with guidelines and improves outcomes in bypass surgery, diabetes, and other areas. http://www.innovations.ahrq.gov/content.aspx?id=2373 Accessed June 12, 2009
28. Porter M.E., and Teisberg E.O. Redefining health care (2006), Harvard Business School Press, Boston
29. Shih A., Davis K., and Schoenbaum S.C. Organizing the US health care delivery system for high performance (2008), The Commonwealth Fund, New York, NY
30. Bodenheimer T.S., and Grumbach K. Understanding health policy: a clinical approach. 5th ed. (2008), McGraw-Hill Medical Publishing, New York, NY
31. Crosson F.J. The delivery system matters. Health Aff (Millwood) 24 (2005) 1543-1548
32. Bodenheimer T. The future of primary care: transforming practice. N Engl J Med 359 (2008) 2086 2089
33. Baucus M. Call to action: health reform 2009 (2008), US Senate Finance Committee White Paper, Washington, DC November
34. American College of Physicians. Relationship of the PCMH to Specialty Physicians. http://www.acponline.org/running_practice/pcmh/understanding/specialty_physicians.htm#1 Accessed May 3, 2009
35. Fisher E.S. Building a medical neighborhood for the medical home. N Engl J Med 359 (2008) 1202-1205
36. Skinner J. The implications of variations in Medicare spending for health reform. Invited testimony, Committee on Energy and Commerce, United States House of Representatives. http://energycommerce.house.gov/Press_111/20090402/testimony_skinner.pdf
37. Fisher E.S., McClellan M.B., Bertko J., et al. Fostering accountable health care: moving forward in Medicare. Health Aff (Millwood) 28 (2009) w219-w231
38. Shekelle P.G., Morton S.C., and Keeler E.B. Costs and benefits of health information technology. Evid Rep Technol Assess (Full Rep) 132 (2006) 1-71
39. Chaudhry B., Wang J., Wu S., et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med 144 (2006) 742-752
40. DesRoches C.M., Campbell E.G., Rao S.R., et al. Electronic health records in ambulatory care-a national survey of physicians. N Engl J Med 359 (2008) 50-60
41. American College of Physicians. Overview of the Medicare 2009 E-prescribing incentive program. http://www.acponline.org/running_practice/technology/eprescribing/medicare_program_overview.pdf Accessed June 12, 2009
42. Iglehart J.K. Medicare showdown. N Engl J Med 359 (2008) 556-558
43. Orszag P.R. Research on the comparative effectiveness of medical treatments: issues and options for an expanded federal role (2007), Congressional Budget Office, Washington, DC
44. Centers for Medicare and Medicaid Services. Decision memo for screening computed tomography colonography (CTC) for colorectal cancer (CAG-00396N). https://www.cms.hhs.gov/mcd/viewdecisionmemo.asp?id=220 Accessed June 12, 2009
45. Shea K.K., Shih A., and Davis K. Commonwealth Fund Commission on a high performance health system data brief: health care opinion leaders' views on health care delivery system reform (2008), The Commonwealth Fund, New York, NY
46. Colmers J.M. Commonwealth Fund Commission on a high performance health system. Public reporting and transparency (2007), The Commonwealth Fund, New York, NY
47. Chernew M., and Fendrick A.M. Value and increased cost sharing in the American health care system. Health Serv Res 43 (2008) 451-457
48. Brotman M., Allen J.I., Bickston S.J., et al. AGA Task Force on Quality in Practice: a national overview and implications for GI practice. Gastroenterology 129 (2005) 361-369
49. Allen J.I. Engage now or become irrelevant. AGA Perspectives 2007. http://www.gastro.org/wmspage.cfm?parm1=4279 Accessed September 30, 2009
50. Kosinski L.R. Migrating to an electronic medical record system: what a GI needs to know. AGA Perspectives 2008. http://www.gastro.org/wmspage.cfm?parm1=6016 Accessed September 30, 2009
51. Allen J.I., Igo M., and Robin D.P. Best practices: community-based gastroenterology practices. Clin Gastroenterol Hepatol 4 (2006) 1292-1295
52. Allen J.I., Brill J.V., and Fogel R. Patient-centered medical home: the future of health-care delivery? AGA Perspectives 2008. http://www.gastro.org/wmspage.cfm?parm1=5860 Accessed September 30, 2009
53. Dorn S.D. Mid-level providers in gastroenterology. Am J Gastroenterol (2009) [Epub ahead of print]
54. Brill J.V. Gastroenterology: vulnerabilities and reimbursement threats on the horizon. AGA Perspectives 2007. http://www.gastro.org/wmspage.cfm?parm1=4508 Accessed September 30, 2009