ACCOUNTABLE CARE ORGANIZATION;
ARTICLE;
HEALTH CARE POLICY;
HUMAN;
MEDICAL FEE;
MEDICARE;
ORGANIZATION AND MANAGEMENT;
PATIENT CARE;
PHYSICIAN;
PILOT STUDY;
REIMBURSEMENT;
AGED;
COST CONTROL;
ECONOMIC DEVELOPMENT;
ECONOMICS;
FEE;
HEALTH CARE DELIVERY;
HEALTH CARE QUALITY;
HEALTH INSURANCE;
LEGISLATION AND JURISPRUDENCE;
STATISTICAL MODEL;
UNITED STATES;
AGED;
COST SAVINGS;
ECONOMIC DEVELOPMENT;
EPISODE OF CARE;
FEE SCHEDULES;
FEE-FOR-SERVICE PLANS;
HEALTH CARE REFORM;
HEALTH SERVICES ACCESSIBILITY;
HUMANS;
MEDICARE ASSIGNMENT;
MODELS, ECONOMIC;
QUALITY ASSURANCE, HEALTH CARE;
UNITED STATES;
The Sustainable Growth Rate formula: then, now...and forever
American Health Line [blog on the Internet]. 2012 Mar 8 [cited 2013 Nov 24]. Available from
Wilson A, Dubansky H. The Sustainable Growth Rate formula: then, now...and forever. American Health Line [blog on the Internet]. 2012 Mar 8 [cited 2013 Nov 24]. Available from: http://ahlalerts.wordpress .com/2012/03/08/the-sustainablegrowth- rate-formula-then-now-andforever/
Payment reform: bundled episodes vs. global payments [Internet]
Washington (DC): Urban Institute; 2012 Sep 18 [cited 2013 Nov 24]. Available from
Berenson RA, de Brantes F, Burton RA. Payment reform: bundled episodes vs. global payments [Internet]. Washington (DC): Urban Institute; 2012 Sep 18 [cited 2013 Nov 24]. Available from: http://www.urban .org/publications/412655.html
Department of Health and Human Services, Office of Inspector General. Washington (DC): HHS; 1997 Jun [cited 2013 Sep 24]. Available from
Department of Health and Human Services, Office of Inspector General. Summary of OIG activities on Medicare [Internet]. Washington (DC): HHS; 1997 Jun [cited 2013 Sep 24]. Available from: http:// oig.hhs.gov/oei/reports/oei-12-93- 00010.pdf
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JAMA Forum: the slowdown in health care spending persists and intrigues
JAMA Forum [blog on the Internet]. 2013 May 31 [cited 2013 Nov 24]. Available from
Wilensky G. JAMA Forum: the slowdown in health care spending persists and intrigues. JAMA Forum [blog on the Internet]. 2013 May 31 [cited 2013 Nov 24]. Available from: http://www.gailwilensky.com/ jama/The_Slowdown_in_Health_ Care.asp
Fee-for-service will remain a feature of major payment reforms, requiring more changes in Medicare physician payment
Ginsburg PB. Fee-for-service will remain a feature of major payment reforms, requiring more changes in Medicare physician payment. Health Aff (Millwood). 2012;31(9):1977-83.
The budget and economic outlook: fiscal years 2013 to 2023 [Internet]
Congressional Budget Office. Washington (DC): CBO; 2013 Feb [cited 2013 Nov 24]. Available from
Congressional Budget Office. The budget and economic outlook: fiscal years 2013 to 2023 [Internet]. Washington (DC): CBO; 2013 Feb [cited 2013 Nov 24]. Available from: http://www.cbo.gov/sites/default/ files/cbofiles/attachments/43907- BudgetOutlook.pdf
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The Congressional Budget Office estimates that this bill would increase Medicare spending by $175.5 billion over ten years.
The Congressional Budget Office estimates that this bill would increase Medicare spending by $175.5 billion over ten years.
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Cost estimate: H.R. 2810: Medicare Patient Access and Quality Improvement Act of 2013 [Internet]
Congressional Budget Office. Washington (DC): CBO; 2013 Sep 13 [cited 2013 Nov 24]. Available from
Congressional Budget Office. Cost estimate: H.R. 2810: Medicare Patient Access and Quality Improvement Act of 2013 [Internet]. Washington (DC): CBO; 2013 Sep 13 [cited 2013 Nov 24]. Available from: http://www.cbo.gov/sites/default/ files/cbofiles/attachments/hr2810 .pdf
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Medicare physician payment reform: an analysis of the new congressional proposal
Health Affairs Blog [blog on the Internet]. 2013 Nov 8 [cited 2013 Nov 24]. Available from
Klar R. Medicare physician payment reform: an analysis of the new congressional proposal. Health Affairs Blog [blog on the Internet]. 2013 Nov 8 [cited 2013 Nov 24]. Available from: http://healthaffairs.org/blog/ 2013/11/08/medicare-physicianpayment- reform-an-analysis-of-thenew- congressional-proposal/
Farewell to fee-forservice? A "real world" strategy for health care payment reform [Internet]
Center for Health Reform and Modernization. Minnetonka (MN): United- Health Group; 2012 Dec [cited 2013 Nov 24]. Available from
Center for Health Reform and Modernization. Farewell to fee-forservice? A "real world" strategy for health care payment reform [Internet]. Minnetonka (MN): United- Health Group; 2012 Dec [cited 2013 Nov 24]. Available from: http:// www.unitedhealthgroup.com/~/ media/UHG/PDF/2012/UNHWorking- Paper-8.ashx
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Effect of a multipayer patient-centered medical home on health care utilization and quality: the Rhode Island Chronic Care Sustainability Initiative pilot program
Rosenthal MB, Friedberg MW, Singer SJ, Eastman D, Li Z, Schneider EC. Effect of a multipayer patient-centered medical home on health care utilization and quality: the Rhode Island Chronic Care Sustainability Initiative pilot program. JAMA Intern Med. 2013;173(20): 1907-13.
Michigan's Physician Group Incentive Program offers a regional model for incremental "fee for value" payment reform
Share DA, Mason MH. Michigan's Physician Group Incentive Program offers a regional model for incremental "fee for value" payment reform. Health Aff (Millwood). 2012; 31(9):1993-2001.
Multi-payer Advanced Primary Care Practice Demonstration: questions and answers [Internet]
Centers for Medicare and Medicaid Services. Baltimore (MD): CMS; [last updated 2011 Apr 12; cited 2013 Nov 24]. Available from
Centers for Medicare and Medicaid Services. Multi-payer Advanced Primary Care Practice Demonstration: questions and answers [Internet]. Baltimore (MD): CMS; [last updated 2011 Apr 12; cited 2013 Nov 24]. Available from: http://www.cms .gov/Medicare/Demonstration- Projects/DemoProjectsEvalRpts/ Downloads/mapcpdemo_QA.pdf
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Fact sheet: Comprehensive Primary Care Initiative [Internet]
Center for Medicare and Medicaid Innovation. Baltimore (MD): Centers for Medicare and Medicaid Services; [last updated 2012 Aug 22; cited 2013 Nov 24]. Available from
Center for Medicare and Medicaid Innovation. Fact sheet: Comprehensive Primary Care Initiative [Internet]. Baltimore (MD): Centers for Medicare and Medicaid Services; [last updated 2012 Aug 22; cited 2013 Nov 24]. Available from: http://innovation.cms.gov/Files/ fact-sheet/CPCI-Fact-Sheet.pdf
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Pioneer Accountable Care Organization model: general fact sheet [Internet]
Center for Medicare and Medicaid Innovation. Baltimore (MD): Centers for Medicare and Medicaid Services; [last updated 2012 Sep 12; cited 2013 Nov 24]. Available from
Center for Medicare and Medicaid Innovation. Pioneer Accountable Care Organization model: general fact sheet [Internet]. Baltimore (MD): Centers for Medicare and Medicaid Services; [last updated 2012 Sep 12; cited 2013 Nov 24]. Available from: http://innovation .cms.gov/Files/fact-sheet/Pioneer- ACO-General-Fact-Sheet.pdf
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Department of Health and Human Services [Internet]. Washington (DC): HHS. Press release, More doctors, hospitals partner to coordinate care for people with Medicare; 2013 Jan 10 [cited 2013 Nov 24]. Available from
Department of Health and Human Services [Internet]. Washington (DC): HHS. Press release, More doctors, hospitals partner to coordinate care for people with Medicare; 2013 Jan 10 [cited 2013 Nov 24]. Available from: http:// www.hhs.gov/news/press/ 2013pres/01/20130110a.html
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Study finds more than 400 ACOs up and running
Advisory Board Company [blog on the Internet]. 2013 Mar 28 [cited 2013 Nov 24]. Available from
Lazerow R. Study finds more than 400 ACOs up and running. Advisory Board Company [blog on the Internet]. 2013 Mar 28 [cited 2013 Nov 24]. Available from: http:// www.advisory.com/Research/ Health-Care-Advisory-Board/Blogs/ Toward-Accountable-Payment/ 2013/03/Study-finds-more-than- 400-ACOs-up-and-running
Centers for Medicare and Medicaid Services [Internet]. Baltimore (MD): CMS. Press release, Pioneer accountable care organizations succeed in improving care, lowering costs; 2013 Jul 16 [cited 2013 Nov 24]. Available from
Centers for Medicare and Medicaid Services [Internet]. Baltimore (MD): CMS. Press release, Pioneer accountable care organizations succeed in improving care, lowering costs; 2013 Jul 16 [cited 2013 Nov 24]. Available from: http:// www.cms.gov/Newsroom/Media ReleaseDatabase/Press-Releases/ 2013-Press-Releases-Items/2013-07- 16.html
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Bundled Payments for Care Improvement (BPCI) Initiative: general information [Internet]
Centers for Medicare and Medicaid Services. Baltimore (MD): CMS; [cited 2013 Nov 24]. Available from
Centers for Medicare and Medicaid Services. Bundled Payments for Care Improvement (BPCI) Initiative: general information [Internet]. Baltimore (MD): CMS; [cited 2013 Nov 24]. Available from: http: //innovation.cms.gov/initiatives/ bundled-payments/index.html
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Letter to Chairmen Dave Camp, Committee on Ways and Means, and Fred Upton, Committee on Energy and Commerce [Internet]
Chicago (IL): American Medical Association; 2013 Apr 16 [cited 2013 Nov 24]. Available from
Madara JL. Letter to Chairmen Dave Camp, Committee on Ways and Means, and Fred Upton, Committee on Energy and Commerce [Internet]. Chicago (IL): American Medical Association; 2013 Apr 16 [cited 2013 Nov 24]. Available from: http:// www.ama-assn.org/resources/doc/ washington/2013-04-16-amacomments- sgr-proposal.pdf
