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Reforming Payments to Healthcare Providers: The Key to Slowing Healthcare Cost Growth While Improving Quality?
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Journal Article
Reforming Payments to Healthcare Providers: The Key to Slowing Healthcare Cost Growth While Improving Quality?
2011
Overview
This paper focuses on a broad movement toward a fundamentally different way of paying healthcare providers. The approach reaches beyond the old dichotomies about whether healthcare providers are reimbursed on a fee-for-service or a “capitated” or per-person payment. Instead, these reforms seek to create direct linkages between payments to healthcare providers and measures of the quality and efficiency of care. After an overview of payment reforms for healthcare providers and their welfare implications, this paper discusses a range of empirical studies. These often small-scale studies suggest that provider payment reforms in conjunction with greater attention to improving measurements of care quality and outcomes can have a significant impact on quality of care and, in some cases, resource use and costs of care.
Publisher
American Economic Association
Subject
/ Health Personnel - economics
/ Humans
/ Medicare
/ Outcome Assessment (Health Care)
/ Patient Protection & Affordable Care Act 2010-US
/ Patients
/ Payments
/ Practice Patterns, Physicians' - economics
/ Prices
/ Quality Assurance, Health Care - economics
/ Reform
/ Reforms
/ Reward
/ Studies
/ Symposium: Constraining Healthcare Costs
/ Torts
/ USA
/ Welfare
