Health Affairs, vol. 31 no. 9

Monday, September 10th, 2012 | Posted in Collections, Faculty, News, Resources, Students by Tomaro Taylor | 1 Comment »

The most recent edition of Health Affairs is available at the FMHI Research Library.

Volume 31, number 9: “Payment Reform to Achieve Better Health Care”

Medicare Hospital Payment	Postacute Care Payment	Capitation & Shared Savings	Physician Payment	Patient-Centered Medical Homes
Payers & Reference Pricing	Government’s Role	End Stage Renal Disease	Effects on Drugs & Devices	Compensating Doctors
Medicare Advantage	Variations in Costs	Shared Decision Making	Report from the Field	Web First

Medicare Hospital Payment

The lessons of Medicare’s prospective payment system show that the bundled payment program faces challenges (Altman, p. 1923)
A giant of health policy reflects on past reforms (p. 1931)
Medicare’s new hospital value-based purchasing program is likely to have only a small impact on hospital payments (Werner & Dudley, p. 1932)

Postacute Care Payment

Medicare postacute care payment reforms have potential to improve efficiency of care, but may need changes to cut costs (Grabowski, Huckfeldt, Sood, Escarce & Newhouse, p. 1941)

Capitation & Shared Savings

Beyond capitation: How new payment experiments seek to find the ‘Sweet Spot’ in amount of risk providers and payers bear (Frakt & Mayes, p. 1951)
The design and application of shared savings programs: Lessons from early adopters (Weissman, Bailit, D’Andrea & Rosenthal, p. 1959)
A global budget pilot project among provider partners and Blue Shield of California led to savings in first two years (Markovich, p. 1969)

Physician Payment

Fee-for-service will remain a feature of major payment reforms, requiring more changes in Medicare physician payment (Ginsberg, p. 1977)
Many large medical groups will need to acquire new skills and tools to be ready for payment reform (Mechanic & Zinner, p. 1984)
Michigan’s physician group incentive program offers a regional model for incremental ‘Fee for Value’ payment reform (Share & Mason, p. 1993)

Patient-Centered Medical Homes

Early results show WellPoint’s patient-centered medical home pilots have met some goals for costs, utilization, and quality (Raskas, Latts, Hummel, Wennders, Levine & Nussbaum, p. 2002)
Colorado’s patient-centered medical home pilot met numerous obstacles, yet saw results such as reduced hospital admissions (Harbrecht & Latts, p. 2010)
Horizon’s patient-centered medical home program shows practices need much more than payment changes to transform (Patel, Rathjen & Rubin, p. 2018)

Payers & Reference Pricing

Payers test reference pricing and centers of excellence to steer patients to low-price and high-quality providers (Robinson & MacPherson, p. 2028)

Government’s Role

Posing a framework to guide government’s role in payment and delivery system reform (Sood & Higgins, p. 2043)

End-Stage Renal Disease

Medicare’s payment strategy for end-state renal disease now embraces bundled payment and pay-for-performance to cut costs (Swaminathan, Mor, Mehrotra & Trivedi, p. 2051)

Effects on Drugs and Devices

Providers’ payment and delivery system reforms hold both treats and opportunities for the drug and device industries (Robinson, p. 2059)

Compensating Doctors

How Geisinger structures its physicians’ compensation to support improvements in quality, efficiency and volume (Lee, Bothe, & Steele, p. 2068)

Medicare Advantage

Payer-provider collaboration in accountable care reduced use and improved quality in Maine Medicare advantage plan (Claffey, Agostini, Collet, Reisman & Krakauer, p. 2074)

Variations in Costs

Wide variation in episode costs within a commercially insured population highlights potential to improve the efficiency of care (Ellis, Sandy, Larson, & Stevens p. 2084)

Shared Decision Making

Introducing decision aids at group health was linked to sharply lower hip and knee surgery rates and costs (Arterburn, Wellman, Westbrook, Rutter, Ross, McCulloch, Handley, and Jung, p. 2094)

Report from the Field

Personal Responsibility: How Mitt Romney embraced the individual mandate in Massachusetts health reform (Bebinger, p. 2015)

Web First

In amenable mortality- Deaths avoidable through health care – Progress in the US lags that of three European countries (Nolte & McKee, p. 2114)
Visits to retail clinics grew fourfold from 2007-2009, although their share of overall outpatient visits remains low (Mehrotra & Lave, p. 2123)
Health in all policies: The role of the US Department of Housing and Urban Development and present and future challenges (Bostic, Thornton, Rudd & Sternthal, p. 2130)

One Response to “Health Affairs, vol. 31 no. 9”