While the implications of payment mechanisms for provider behaviour and cost have been amply explored in industrialized countries, there is little empirical evidence from developing countries. This study exploits the opportunities created by a pilot study of micro health insurance with capitation in Rwanda to address this issue. Using cross-sectional data collected in 52 health centres, the pap...

BACKGROUND AND OBJECTIVES Our objectives were to determine the distribution of errors and estimate the magnitude of the burden of delayed payments in a large physician group practice. METHODS A 25% random sample (n=775) was taken from all billed records of a physician group practice in the Pacific Northwest that were delayed 6 months or more as of June 30, 2001. The source and specific reason...

We consider a public wireless network with one access point (AP) and several users. The wireless network is setup by a service provider (SP) to enable Internet connections in public areas such as parks, libraries, and cafes. The service provider establishes appropriate pricing schemes to charge the users in order to cover its own cost in the setup and maintenance of the public wireless network....

In an earlier paper (Ma, 1994), I considered the implications of prospective payment and cost reimbursement systems on provider quality and cost reduction incentives in the health market. Patient dumping, in which costly patients are denied services by providers, was one of the issues discussed in that paper. Because pure prospective payment is a fixed-price mechanism, providers will suffer a l...

With the innovation and integration of Internet financial industry, third-party payment market has developed greatly great potential. This paper discusses duopoly game between service providers banks, which are main participants in mobile market. By constructing Nash model, conditions equilibrium point, stability bifurcation analyzed. The effects adjusting parameters cooperation coefficient on ...

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule that details a consolidated pay-for-performance provider payment system within the Medicare Access and CHIP Reauthorization Act. This proposed rule establishes policy for the new provider Merit-Based Incentive System and Alternative Payment Models. While the rule is extremely complex, and not yet finalized, there ar...

Many health policy analysts envision provider payment reforms currently under development as replacements for the traditional fee-forservice payment system. Reforms include per episode bundled payment and elements of capitation, such as global payments or accountable care organizations. But even if these approaches succeed and are widely adopted, the core method of payment to many physicians fo...

Since its inception, the Medicare Program has allowed for the participation of private health plans, but the relationship of private plans to the government-sponsored fee-for-service (FFS) plan has been the subject of debate. Increased payments to private plans, the introduction of regional preferred provider organizations (PPOs), and a mandated demonstration of price competition that includes ...