Nowadays, an in-app payment mechanism is offered in most existing mobile payment solutions. However, current solutions are not flexible and impose certain restrictions: users are limited to predefined payment options and merchants need to adapt their payment mechanisms to each payment provider they use. Ideally mobile payments should be as flexible as possible to be able to target various marke...

In a recently concluded Medicare demonstration, Community Nursing Organizations (CNOs) received capitated payment to provide a subset of Medicare services through a nursing case management delivery system. Demonstration participation was voluntary, both for CNOs and recruited beneficiaries, raising several challenging issues associated with selection. We investigate provider and beneficiary sel...

Introduction Only a small portion of today's existing research has made use of rigorous empirical methods to convincingly isolate the impact on the health sector of the new provider-payment arrangements from those which resulted from other changes occurring at the same time. Throughout the 1990s and early 2000s, several transitional countries in Central and Eastern Europe and Central Asia (ECA)...

This paper develops a simple model of payment incentives and empirically evaluates provider payment reform in Hainan Province, China. We use a pre-post study design with a control group to analyse two years of claims data to assess the impact of a January 1997 change to prospective payment for a sub-sample of the hospitals. This difference-in-difference empirical strategy allows us to isolate t...

We study the impact of a merit-based incentive payment system on provider behavior in the primary care setting using experimental methods that leverage healthcare simulations with patient actors. Our approach allows us to exogenously change a provider’s incentives and to directly measure the consequences of alternative payment systems. Within our sample, we find that merit-based incentive payme...

Creating accountable care organizations (ACOs) has been widely discussed as a strategy to control rapidly rising healthcare costs and improve quality of care; however, building an effective ACO is a complex process involving multiple stakeholders (payers, providers, patients) with their own interests. Also, implementation of an ACO is costly in terms of time and money. Immature design could cau...

Provider payment methods may be divided into eight basic methods, depending on the unit of payment.* Each method is characterized by a different division of risk between the payer and the provider (see chart below.) In increasing order of payer risk, the eight basic methods are: 1. Per dollar of charges. The provider is paid a percentage of its charges, usually less than 100 percent. This metho...

The O2O is a fast-growing emerging business model, the O2O business model framework is established and the most basic 7 major elements are identified in our research with Value Net theory as follow: customer, telecom operator, content provider, service provider, software provider, third-party payment platform and offline business entity. Then, we apply the Delphi method to identify 8 secondary ...

In this paper, we consider the protocol which prevents the service provider from finding out which customer have bought what kind of contents by the unlinkability between the payment and user-profile information. Besides, we do not employ any kind of anonymous payment system causing more computation complexities and overheads to the network, and our approach can be easily applied into the curre...

Introduction Between April 2008 and April 2009, five lawsuits1 were filed against the State of California to stop scheduled reductions (to rehabilitation providers, non-emergency medical transportation providers, pharmacies, physicians, and emergency physicians) in Medi-Cal payment rates. These legal challenges reflect California’s generally low payment rates: In the case of physician payments,...