ARTICLE;
HEALTH CARE SYSTEM;
HOSPITAL ADMISSION;
HOSPITAL DISCHARGE;
HUMAN;
INTEGRATION;
INTERVIEW;
ORTHOPEDIC SURGERY;
OUTCOME ASSESSMENT;
PATIENT CARE;
PATIENT SELECTION;
PHYSICIAN;
UNITED STATES;
HEALTH REFORM;
HOSPITALS;
MEDICAL TECHNOLOGY;
CALIFORNIA;
DELIVERY OF HEALTH CARE, INTEGRATED;
EFFICIENCY, ORGANIZATIONAL;
HOSPITALS, GENERAL;
HOSPITALS, SPECIAL;
HUMANS;
INTERVIEWS AS TOPIC;
MOTIVATION;
ORGANIZATIONAL CASE STUDIES;
ORTHOPEDIC PROCEDURES;
PHYSICIANS;
Towards a 21st century health care system: recommendations for health care reform
Alain Enthoven has consulted with Kaiser Permanente over many aspects of its organizational strategy, including regionalization to achieve efficiencies of scale and experience
Alain Enthoven has consulted with Kaiser Permanente over many aspects of its organizational strategy, including regionalization to achieve efficiencies of scale and experience. See Arrow K, Auerbach A, Bertko J, Brownlee S, Casalino LP, Cooper J, et al. Towards a 21st century health care system: recommendations for health care reform. Ann Intern Med. 2009;150(7):493-5.
How Geisinger structures its physicians' compensation to support improvements in quality, efficiency, and volume
For a description of the Geisinger system
For a description of the Geisinger system, see Lee TH, Bothe A, Steele GD. How Geisinger structures its physicians' compensation to support improvements in quality, efficiency, and volume. Health Aff (Millwood). 2012;31(9):2068-72.
Aligning physician and hospital incentives: the approach at Hospital for Special Surgery
The Hoag Orthopedic Institute was developed in part with the consulting expertise of Michael Porter. For a description of the Hospital for Special Surgery system
The Hoag Orthopedic Institute was developed in part with the consulting expertise of Michael Porter. For a description of the Hospital for Special Surgery system, see Ranawat AS, Koenig JH, Thomas AJ, Krna CD, Shapiro LA. Aligning physician and hospital incentives: the approach at Hospital for Special Surgery. Clin Orthop Relat Res. 2009;467(10): 2535-41.
Center for Studying Health System Change, Washington (DC): The Center, Aug, Community Report No. 10
Center for Studying Health System Change. Physicians key to health maintenance organization popularity in Orange County. Washington (DC): The Center; 2011 Aug. (Community Report No. 10).
Additional procedures performed for these patients do not bring additional revenue to the orthopedic medical group, although the individual surgeon performing the procedure is paid by the group on a fee-for-service basis
A small percentage of patients treated at the Hoag Orthopedic Institute are covered through subcapitation payments from a local independent practice association to the Newport Orthopedic Institute medical group
A small percentage of patients treated at the Hoag Orthopedic Institute are covered through subcapitation payments from a local independent practice association to the Newport Orthopedic Institute medical group. Additional procedures performed for these patients do not bring additional revenue to the orthopedic medical group, although the individual surgeon performing the procedure is paid by the group on a fee-for-service basis. Procedures performed on independent practice association patients do bring in additional revenue to the hospital through the case-rate payments.
For a description of the Center for Medicare and Medicaid Innovation demonstration on bundled payment, see CMS.gov, Internet, Baltimore (MD): Center for Medicare and Medicaid Innovation; [cited 2013 Jan 13]. Available from
For a description of the Center for Medicare and Medicaid Innovation demonstration on bundled payment, see CMS.gov. Bundled Payments for Care Improvement (BPCI) Initiative: general information [Internet]. Baltimore (MD): Center for Medicare and Medicaid Innovation; [cited 2013 Jan 13]. Available from: http://www.innovations.cms.gov/initiatives/Bundled-Payments/index.html
