Search results for: Studies by Others
In March 2013, the Health Care Incentives Improvement Institute and Catalyst for Payment Reform issued a report card ranking each state in the US on the availability and accessibility of health care services pricing. In December 2013, another report card…
July 25, 2013
Health Care Price Transparency
(a) Purpose. This Bulletin is issued by the Office of the Health Insurance Commissioner [of Rhode Island] for the purpose of communicating to health insurance issuers the Commissioner’s interpretation of their obligations under state laws and regulations to disclose to…
May 23, 2013
The Leapfrog Group is a coalition of many of the nation's largest corporations and public agencies founded by The Business Roundtable, a national association of Fortune 500 CEOs, to address patient safety and quality issues in the American health care…
March 22, 2013
Medicaid, one of the largest health care purchasers in the country, can play a leading role in testing the viability of physician-level pay-for-performance (P4P) strategies to improve health care quality for low-income, racially diverse, and chronically ill individuals. Physician Pay-for-Performance…
March 22, 2013
The study's author, 2009–10 Commonwealth Fund Harkness Fellow Harald Schmidt, characterized employees as belonging to one of five groups: "the lucky ones," whose behavior is effortlessly compatible with wellness goals; "the yes-I-can" group, who welcome the opportunity to join an…
March 22, 2013
Driven by widespread interest in improving health care quality and reducing costs and by the Affordable Care Act’s “accountable care” provisions, shared-savings programs are gaining traction as an alternative approach to paying health care providers. Providers receive a share of…
March 22, 2013
Colorado, Minnesota, and Vermont are pioneering innovative health care payment and delivery system reforms. While the states are pursuing different models, all three are working to align incentives between health care payers and providers to better coordinate care, enhance prevention…
March 22, 2013
For ACOs to be successful, they must improve the efficiency of care, meet patients’ expectations for care and clinical outcomes, and attract and retain top-quality professionals. Incentives like pay-for-performance bonuses are key management tools for achieving these goals. Taken alone,…
March 22, 2013
The researchers used Capital District Physicians’ Health Plan, a nonprofit network-model HMO in New York, as a test case. In January 2009, the plan launched a pilot program in three primary care practices where providers received bundled payments, adjusted to…
March 22, 2013
By eliminating or reducing copayments for key drugs prescribed for employees at risk for cardiovascular disease, a value-based health insurance program at the U.S.-based firm Pitney Bowes led to modest increases in medication adherence rates compared with a control group.…
March 22, 2013
Heart attack patients discharged from the hospital were more likely to take prescription medications for their condition when copayments were eliminated, compared with patients who had copayments. Patients who had their copayments waived also experienced fewer heart attacks, strokes, and…
March 22, 2013
Heart attack patients discharged from the hospital were more likely to take prescription medications for their condition when copayments were eliminated, compared with patients who had copayments. Patients who had their copayments waived also experienced fewer heart attacks, strokes, and…
March 22, 2013
Insurers impose copayments to reduce overall health care spending, but these higher out-of-pocket expenses can also prompt patients to reduce their use of essential medications. Previous studies have shown that reducing or eliminating copayments for cardiovascular medications prescribed after heart…
March 22, 2013
Employers are increasingly looking to wellness programs to encourge healthy behaviors among their employees and control health care spending. A study examining the effects of a wellness program on workers’ health service use found a substantial decrease in hospitalizations for…
March 22, 2013
A summarization of the results of Medicare demonstrations of value-based payment systems, which give providers financial incentives to improve the quality and efficiency of care.
http://www.cbo.gov/sites/default/files/cbofiles/attachments/WP2012-02_Nelson_Medicare_VBP_Demonstrations.pdf…
March 21, 2013
An analysis and discussion of innovations and challenges in payment reform initiatives.
http://www.nejm.org/doi/full/10.1056/NEJMhpr1004028…
March 21, 2013
A sample of peer-reviewed research providing evidence, examples and insights on value-based insurance design.
http://www.sph.umich.edu/vbidcenter/publications/pdfs/V-BID%20brief%20Evidence%20Nov2012.pdf…
March 21, 2013
A study of value-based insurance design strategies including a description of implementations and results. (Abstract only, full text requires subscription)
http://content.healthaffairs.org/content/29/11/1988.abstract…
March 21, 2013
Research on whether and in what settings patient engagement is or isn't effective. (Abstract only. Full text requires subscription.)
http://content.healthaffairs.org/content/32/2/242.abstract…
March 21, 2013
Fact Sheet
In this program, the Agency for Healthcare Research and Quality (AHRQ) helps purchasers and providers enhance quality improvement, public reporting, and pay-for-performance programs. The effort is designed to help purchasers and providers understand the science behind early efforts and benefit…
March 20, 2013
A compilation of Pay for Performance and other purchaser strategies, research and tools that are supported by the Agency for Healthcare Research and Quality
http://www.ahrq.gov/legacy/qual/pay4per.htm…
March 20, 2013
Provider and Patient Incentives in Preventive Care
A compilation of literature and evidence on the impact of economic incentives targeted at motivating providers and consumers to adopt preventive health behaviors.
http://www.ncbi.nlm.nih.gov/books/NBK11845/…
March 20, 2013
Policy Innovation Profile
A case study of insurer provided financial incentives, infrastructure and other support to stimulate provider participation in quality improvement collaborations
http://www.innovations.ahrq.gov/content.aspx?id=3641…
March 20, 2013
Webinar Series January 29 2013
Web seminar materials on innovative policies using ACO principles and financial incentives to improve health outcomes
http://www.innovations.ahrq.gov/webevents/index.aspx?id=46…
March 20, 2013