When should Medicare mandate participation in alternative payment models?

JM Liao, MV Pauly, AS Navathe - Health Affairs, 2020 - healthaffairs.org
… The Centers for Medicare and Medicaid Services continues to propose and implement
alternative payment models (APMs) to shift Medicare payment away from fee-for-service and …

The Medicare Access and CHIP Reauthorization Act: effects on Medicare payment policy and spending

PS Hussey, JL Liu, C White - Health Affairs, 2017 - healthaffairs.org
… We projected Medicare payment policy from 2015 to 2030 under four scenarios: a “pre-…
The pre-MACRA baseline represents a counterfactual in which Medicare payment policy for …

The effect of benefits, premiums, and health risk on health plan choice in the Medicare program

A Atherly, BE Dowd, R Feldman - Health services research, 2004 - Wiley Online Library
… on the probability of enrollment in a Medicare+Choice plan. … of the Medicare program,
payments to Medicare+Choice (M+… formula that takes data on historical Medicare fee-for-service (…

[PDF][PDF] Report to congress: Medicare payment policy

G Hackbarth, R Reischauer, M Miller - … , DC: Medicare Payment …, 2007 - medpac.gov
… ’s March Report to the Congress and our recommendations on Medicare payment policy. …
trend of higher Medicare spending without a commensurate increase in value to the program. (…

Building a better clinician value-based payment program in Medicare

KJ Johnston, JM Hockenberry, KEJ Maddox - Jama, 2021 - jamanetwork.com
Medicare Advantage program, which now provides coverage for almost 40% of Medicare
Studies show that Medicare Advantage beneficiaries receive similar or better quality of care, …

How successful is Medicare advantage?

JP Newhouse, TG McGuire - The Milbank Quarterly, 2014 - Wiley Online Library
… , and because of payment policy decisions and selection, the MA program is viewed as having
… funds for the Medicare program. Recent changes in Medicare policy, including improved …

Medicare payment and hospital capital: Future policy options

G Anderson, PB Ginsburg - Health Affairs, 1984 - healthaffairs.org
payments should be incorporated into the new payment … to complicated policy problems,
set out options that Congress … of the administrations prospective payment policy. Over the …

How does risk selection respond to risk adjustment? New evidence from the Medicare Advantage Program

J Brown, M Duggan, I Kuziemko… - American Economic …, 2014 - aeaweb.org
plan, the government pays the plan a capitation payment meant to cover the cost of providing
her Medicare … FFS costs as an estimate for plan per-enrollee payments. The next section …

Effect of Medicare payment on rural health care systems

TD McBride, KJ Mueller - The Journal of rural health, 2002 - Wiley Online Library
policy issues in Medicare payment affecting the fee-for-service traditional Medicare program
(payment for hospitals, clinics, physicians, and home health agencies), the M+C program for …

Who benefits when the government pays more? Pass-through in the Medicare Advantage program

M Duggan, A Starc, B Vabson - Journal of Public Economics, 2016 - Elsevier
… in the Medicare Advantage program, which provides coverage for 17 million Medicare
recipients. … Our results indicate that the increased reimbursements paid to urban floor counties …