The role of private payers in payment reform

JAMA - Journal of the American Medical Association

Volumn 313, Issue 1, 2015, Pages 25-26

  Song, Zirui ^a   Chokshi, Dave A ^b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b NEW YORK UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AFFORDABLE CARE ACT; BUDGET; COST CONTROL; ECONOMIC RECESSION; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH STATISTICS; HUMAN; MEDICAID; MEDICAL PRACTICE ACT; MEDICARE; NOTE; PRIVATE HEALTH INSURANCE; PUBLIC-PRIVATE PARTNERSHIP; REIMBURSEMENT; COST; ECONOMICS; HEALTH INSURANCE; ORGANIZATION AND MANAGEMENT; RISK MANAGEMENT; UNITED STATES;

CALIFORNIA; COST SHARING; HEALTH CARE REFORM; INSURANCE, HEALTH; MANAGED CARE PROGRAMS; MEDICARE; PATIENT PROTECTION AND AFFORDABLE CARE ACT; PRIVATE SECTOR; RISK SHARING, FINANCIAL; UNITED STATES;

EID: 84920542564     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2014.15904     Document Type: Note

References (10)

1. Health Care Cost Institute. 2013 Health care cost and utilization report. http://www.healthcostinstitute.org/2013-health-care-cost-and-utilization-report. Accessed October 28, 2014.
2. Muhlestein D. Accountable care growth in 2014: A look ahead. Health Affairs Blog. January 29, 2014. http://healthaffairs.org/blog/2014/01/29/accountable-care-growth-in-2014-a-look-ahead/.Accessed October 9, 2014.
3. National Center for Health Statistics. Health insurance coverage: Estimates from the National Health Interview Survey, January-March 2014. Accessed September 16, 2014
4. Shah NR, Chokshi DA. Should health care systems become insurers? JAMA. 2013;310(15): 1561-1562.
5. Centers for Medicare & Medicaid Services. Medicare ACOs continue to succeed in improving care, lowering cost growth: Press release of the Centers for Medicare and Medicaid Services, September 16, 2014 . http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2014-Fact-sheets-items/2014-09-16-2.html?DLPage=1&DLSort=0&DLSortDir=ascending. Accessed October 28, 2014.
6. Song Z, Rose S, Safran DG, Landon BE, Day MP, Chernew ME. Changes in health care spending and quality 4 years into global payment. N Engl J Med. 2014;371(18):1704-1714.
7. Baker LC, Bundorf MK, Kessler DP. Vertical integration: Hospital ownership of physician practices is associated with higher prices and spending. Health Aff (Millwood). 2014;33(5): 756-763.
8. Accenture. Clinical transformation: new business models for a new era in healthcare, 2012. http://www.accenture.com/SiteCollectionDocuments/PDF/Accenture-Clinical-Transformation-New-Business-Models-for-a-New-Era-in-Healthcare.pdf. Accessed October 22, 2014.
9. Rajkumar R, Conway PH, Tavenner M. CMS-Engaging multiple payers in payment reform. JAMA. 2014;311(19):1967-1968.
10. Kary W. Bundled episode payment and gainsharing demonstration: Technical white paper. Integrated Healthcare Association. 2013. http://www.iha.org/pdfs-documents/bundled-payment/Bundled-Episode-Payment-Gainsharing-Demo-Whitepaper.pdf. Accessed September 29, 2014.