Effects of episode-based payment on health care spending and utilization: Evidence from perinatal care in Arkansas

C Carroll, M Chernew, AM Fendrick… - Journal of health …, 2018 - Elsevier
We study how physicians respond to financial incentives imposed by episode-based
payment (EBP), which encourages lower spending and improved quality for an entire …

Opportunities and challenges for episode-based payment

RE Mechanic - New England Journal of Medicine, 2011 - Mass Medical Soc
Episode-based payment, one of the payment reforms in the Affordable Care Act, aims to
create incentives for efficiency and better care coordination. But it's more complex to …

Better patient care at high-quality hospitals may save Medicare money and bolster episode-based payment models

TC Tsai, F Greaves, J Zheng, EJ Orav, MJ Zinner… - Health …, 2016 - healthaffairs.org
US policy makers are making efforts to simultaneously improve the quality of and reduce
spending on health care through alternative payment models such as bundled payment …

[PDF][PDF] Episode-based payments: charting a course for health care payment reform

HH Pham, PB Ginsburg, TK Lake… - National Institute for Health …, 2010 - nihcr.org
At the other end of the spectrum, capitated payments—fixed per-enrollee, per-month
payments—provide strong incentives for care coordination to maximize efficiency and could …

Wide variation in episode costs within a commercially insured population highlights potential to improve the efficiency of care

P Ellis, LG Sandy, AJ Larson, SL Stevens - Health Affairs, 2012 - healthaffairs.org
Reforming payment methods to move away from fee-for-service reimbursement is widely
seen as a crucial step toward controlling health care costs. Although there is a good deal of …

The next generation of episode-based payments

AS Navathe, Z Song, EJ Emanuel - JAMA, 2017 - jamanetwork.com
On December 20, 2016, the US Department of Health andHumanServices (DHHS)
announcedthefinalmodels forthenextgroupofmandatoryepisode-basedpayments. AllhospitalsacceptingMedicarepatientsin98 …

[HTML][HTML] Fee‐for‐service payment is not the (main) problem

BE Dowd, MJ Laugesen - Health services research, 2020 - ncbi.nlm.nih.gov
Fee‐for‐service payment is not the (main) problem - PMC Back to Top Skip to main content NIH
NLM Logo Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation …

[HTML][HTML] Effects of health care payment models on physician practice in the United States: Follow-up study

MW Friedberg, PG Chen, M Simmons… - Rand Health …, 2020 - ncbi.nlm.nih.gov
This study, sponsored by the American Medical Association (AMA), describes how
alternative payment models (APMs) affect physicians, physicians' practices, and hospital …

Hospital responses to price shocks under the prospective payment system

E Shin - Health economics, 2019 - Wiley Online Library
Under the prospective payment system (PPS), hospitals receive a bundled payment for an
entire episode of treatment based on diagnosis‐related groups (DRG). Although there is …

Spending on care after surgery driven by choice of care settings instead of intensity of services

LM Chen, EC Norton, M Banerjee, SE Regenbogen… - Health …, 2017 - healthaffairs.org
The rising popularity of episode-based payment models for surgery underscores the need to
better understand the drivers of variability in spending on postacute care. Examining …