Physician Payment Reform: Early Innovators Share What They Have Learned

Medicaid Payment and Delivery System Reform: Early Insights from 10 Medicaid Expansion States.

Issue Expanded Medicaid enrollment under the Affordable Care Act has heightened the importance of states’ roles as principal purchasers of health care for low-income and medically vulnerable populations. Concurrently, the federal government has augmented states’ purchasing tools. Goal To examine the evolution of payment and delivery system reform in 10 ACA Medicaid expansion states. Methods...

Physician payment reform: getting what we pay for.

Statement for the Record American College of Physicians 25 Massachusetts Ave, NW Washington, DC 20001 Senate Finance Committee Roundtable Discussion Medicare Physician Payments: Perspectives from Physicians

The American College of Physicians (ACP) applauds Chairman Baucus and Ranking Member Hatch for holding this roundtable discussion and for the committee’s bipartisan efforts in trying to develop a solution to Medicare’s physician payment system, which has been a burden on physician practices for over a decade. We share your view that “we need physicians to suggest changes to the Medicare physici...

Physician Payment Reform Under Medicare: Monitoring Utilization and Access

The Omnibus Budget Reconciliation Act (OBRA) of 1989 brought about significant changes in physician payment policy under Medicare. A major component of physician payment reform was the implementation on January 1, 1992, of the Medicare fee schedule (MFS). The Secretary of Health and Human Services is required to monitor and report annually on the impact of the changes in physician payment on ac...

Robert Wood Johnson Foundation Payment Reform Evaluation Project Development and Implementation of Payment Reform to Pay Equally for What Works Equally Well Institute for Clinical and Economic Review, Massachusetts General Hospital

Introduction This report summarizes the history of an innovative payment reform project in Massachusetts which began in 2009 and ended in autumn 2011, at which time project stakeholders mutually decided that the originally anticipated payment change -paying equally for procedures that, according to comparative effectiveness reviews, produced equal outcomes for patients with low-risk prostate ca...