منابع مشابه
Measuring low-value care in Medicare.
IMPORTANCE Despite the importance of identifying and reducing wasteful health care use, few direct measures of overuse have been developed. Direct measures are appealing because they identify specific services to limit and can characterize low-value care even among the most efficient providers. OBJECTIVES To develop claims-based measures of low-value services, examine service use (and associa...
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The Medicare program may soon adopt value-based purchasing (VBP), in which hospitals could receive incentives that are conditional on meeting specified performance objectives. The authors advocate for a market-oriented framework and direct measures of system-level value that are focused on better outcomes and lower total cost of care. They present a multidimensional framework for measuring outc...
متن کاملMeasuring Quality of Care Under Medicare and Medicaid
The Health Care Financing Administration's (HCFA) approach to measuring quality of care uses an accepted definition of quality, explicit domains of measurement, and a formal validation procedure that includes face validity, construct validity, reliability, clinical validation, and tests for usefulness. The indicators of quality for Medicare and Medicaid patients span the range of service types,...
متن کاملMilestones in Medicare Managed Care
Medicare managed care has a long history, dating back to the beginning of the Medicare program. The role and prominence of managed care in Medicare have both changed over the years; though plan participation has waxed and waned, enrollment has grown steadily The greatest growth in Medicare managed care enrollment occurred in the middle to late 1990s, coinciding with the "managed care revolution...
متن کاملSnapshots of low-value medical care.
H AVE YOU EVER HAD a magnetic reso-n a n c e i m a g i n g (MRI) scan of your brain? I have. I was lying on a plank in my underwear and a hospital gown, with a cold peripheral intravenous (IV) line in my arm and a woolen blanket draped over me. A plastic cage was closed on my face to steady my head, and headphones with thick cushions covered my ears, playing the Dave Matthews Band inaudibly. I ...
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ژورنال
عنوان ژورنال: JAMA Internal Medicine
سال: 2014
ISSN: 2168-6106
DOI: 10.1001/jamainternmed.2014.1541