delivery system reforms to better align provider incentives to improve care coordination and quality and reduce costs. These reforms include medical homes, voluntary pilot projects to test bundled Medicare payments and voluntary programs where qualifying providers – including hospitals – can form accountable care organizations and share in Medicare cost savings. In addition, the ACA creates a C...

This final rule will implement section 2702 of the Patient Protection and Affordable Care Act which directs the Secretary of Health and Human Services to issue Medicaid regulations effective as of July 1, 2011 prohibiting Federal payments to States under section 1903 of the Social Security Act for any amounts expended for providing medical assistance for health care-acquired conditions specifie...

This policy statement reviews the impressive progress of the State Children's Health Insurance Program since its enactment in 1997 and identifies outstanding challenges and state and federal policy recommendations. The American Academy of Pediatrics urges Congress to reauthorize SCHIP to strengthen its historic gains. The following set of recommended strategies for reauthorization pertain to fu...

Consumer behavior shifts from cash to digital transactions due innovations in payment system digitization, primarily through electronic payments like mobile banking and wallets. In Indonesia, Shopee Pay emerged as a prominent non-bank QRIS provider 2021, with the Quick Response Code Indonesia Standard (QRIS) mandated for all service providers. usage potential is high East Java, particularly Sur...

Mobile proximity payment has been discussed for more than a decade, but now it seems close to the maturity and it seems that its mass diffusion has now started. Expectation for Mobile Payment diffusion worldwide is justified by the fact that in 2010 more than three billion people owned a mobile handset [1]. Mobile commerce is a natural successor to electronic commerce. The capability to pay ele...

Preferred provider organizations (PPOs) represent a form of managed care in which providers agree to accept discounted fees in exchange for the expectation that their patient volume will increase or at least be maintained. Managed care plans that rely on discounted fee-for-service (FFS) payments have increased from about 10 plans in 1981 to over 700 plans in 1994. In this study, we document lev...

To improve the quality of health services at Primary Health Care (FKTP) in implementing National Insurance Program Indonesia, government has issued a performance-based capitation payment (KBK) policy FKTP. This study aims to evaluate Merial clinic from aspects effectiveness, efficiency, facilities and infrastructure, availability human resources, adequacy, legal compliance. performed in-depth i...