[HTML][HTML] Health care payers COVID-19 impact assessment: lessons learned and compelling needs

M McClellan, R Rajkumar, M Couch, D Holder… - NAM …, 2021 - ncbi.nlm.nih.gov
This discussion paper is part of the National Academy of Medicine's Emerging Stronger After
COVID-19: Priorities for Health System Transformation initiative, which commissioned …

Value-based payment for clinicians treating cardiovascular disease: a policy statement from the American Heart Association

AT Sandhu, PA Heidenreich, W Borden, SA Farmer… - Circulation, 2023 - Am Heart Assoc
Clinician payment is transitioning from fee-for-service to value-based payment, with
reimbursement tied to health care quality and cost. However, the overarching goals of value …

Advancing value-based models for heart failure: a call to action from the value in healthcare initiative's value-based models learning collaborative

K Joynt Maddox, WK Bleser, HL Crook… - … Quality and Outcomes, 2020 - Am Heart Assoc
Heart failure (HF) is a leading cause of hospitalizations and readmissions in the United
States. Particularly among the elderly, its prevalence and costs continue to rise, making it a …

Transforming Medicare's Payment Systems: Progress Shaped By The ACA: A narrative review of Affordable Care Act payment reforms.

ME Chernew, PH Conway, AB Frakt - Health Affairs, 2020 - healthaffairs.org
The Affordable Care Act promoted payment reforms directly and through the creation of the
Center for Medicare and Medicaid Innovation, which it endowed with the authority to …

Benchmarking Changes And Selective Participation In The Medicare Shared Savings Program: Study examines changes in Medicare Share Savings Program …

PF Lyu, ME Chernew, JM McWilliams - Health Affairs, 2023 - healthaffairs.org
In 2017 the Medicare Shared Savings Program (MSSP) began incorporating regional
spending into accountable care organization (ACO) benchmarks, thus favoring the …

[HTML][HTML] Patient-Centered Integrated Model of Home Health Care Services in South Korea (PICS-K)

H Mun, K Cho, S Lee, Y Choi, SJ Oh… - … Journal of Integrated …, 2023 - ncbi.nlm.nih.gov
Discussion: Integrating healthcare, personal care, and social services at multiple levels is
necessary. Accordingly, platforms to share participant information and service records, and …

[PDF][PDF] How are payment reforms addressing social determinants of health

H Crook, J Zheng, WK Bleser… - … and Next Steps …, 2021 - healthpolicy.duke.edu
The movement toward value-based care provides a significant opportunity to address social
determinants of health (SDoH) while improving value and quality of care. Valuebased care …

[PDF][PDF] Accountable care organizations are increasingly led by physician groups rather than hospital systems

D Muhlestein, T Tu, CH Colla - Am J Manag Care, 2020 - ajmc.s3.amazonaws.com
Background ACOs consist of healthcare providers that accept responsibility for the cost and
quality outcomes of a defined population. The defining characteristic of an ACO is the …

Practice site heterogeneity within and between Medicaid Accountable Care Organizations

Z Dyer, M Alcusky, J Himmelstein, A Ash, M Kerrissey - Healthcare, 2024 - mdpi.com
The existing literature has considered accountable care organizations (ACOs) as whole
entities, neglecting potentially important variations in the characteristics and experiences of …

ACO Investment Model Produced Savings, But The Majority Of Participants Exited When Faced With Downside Risk: Study examines Medicare's Accountable Care …

MJ Trombley, JM McWilliams, B Fout, B Morefield - Health Affairs, 2022 - healthaffairs.org
Medicare's Accountable Care Organization (ACO) Investment Model (AIM) provided up-front
funding to forty-one small, rurally located ACOs to encourage their participation in the …