Medical group responses to global payment: Early lessons from the 'alternative quality contract' in Massachusetts

Health Affairs

Volumn 30, Issue 9, 2011, Pages 1734-1742

  Mechanic, Robert E ^a   Santos, Palmira ^a   Landon, Bruce E ^b   Chernew, Michael E ^b  

^a BRANDEIS UNIVERSITY   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; ARTICLE; HEALTH CARE PERSONNEL MANAGEMENT; HEALTH CARE QUALITY; HUMAN; MEDICAL FEE; PATIENT CARE; UNITED STATES;

EFFICIENCY, ORGANIZATIONAL; GROUP PRACTICE; MASSACHUSETTS; ORGANIZATIONAL CASE STUDIES; QUALITY ASSURANCE, HEALTH CARE; REIMBURSEMENT MECHANISMS;

EID: 84855678574     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2011.0264     Document Type: Article

References (12)

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2. Centers for Medicare and Medicaid Services. Medicare Shared Savings Program: accountable care organizations. Fed Regist. 2011;76(67):19528-654.
3. Meyer H. Accountable care organization prototypes: winners and losers? Health Aff (Millwood). 2011;30(7):1227-31.
4. Chernew ME, Mechanic RE, Landon BE, Safran DG. Private-payer innovation in Massachusetts: the "alternative quality contract". Health Aff (Millwood). 2011;30(1):51-61.
5. To access the Appendix, click on the Appendix link in the box to the right of the article online.
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7. For example, the 2009 median severity-adjusted private insurer payments ranged from $9,684 to $19,059 for acute myocardial infarction (diagnosis-related group, or DRG, 190) and from $3,430 to $6,185 for normal delivery (DRG 560). See Division of Health Care Finance and Policy. Price variation in Massachusetts health care services (statistical appendix). Boston (MA): The Division; 2011 May.
8. Kowalczyk L. Doctors group to focus on 1 hospital. Boston Globe, 2010 Feb 25.
9. Song Z, Safran DG, Landon BE, He Y, Ellis RP, Mechanic RE, et al. Health care spending and quality in year 1 of the Alternative Quality Contract. New Engl J Med. Epub 2011 Jul 13.
10. Office of Attorney General Martha Coakley. Examination of health care cost trends and cost drivers pursuant to G.L. c. 118G, sect. 6 1/2(b). Boston (MA): The Office; 2011 Jun.
11. Rauh SS, Wadsworth E, Weeks WB. The fixed-cost dilemma: what counts when counting cost-reduction efforts? Healthc Financ Manage. 2010;64(3):60-3.
12. Mechanic D. Replicating high-quality medical care organizations. JAMA. 2010;303(6):555-6.