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1. An unprecedented opportunity: using federal stimulus funds to advance health IT in California

Publication:
[Oakland, Calif.] : California HealthCare Foundation, [2009]
Subject(s):
Financing, Government -- economics
Financing, Government -- legislation & jurisprudence
Health Care Reform -- economics
Health Care Reform -- legislation & jurisprudence
Medical Informatics -- economics
Medical Informatics -- legislation & jurisprudence
Delivery of Health Care -- economics
Delivery of Health Care -- legislation & jurisprudence
Federal Government
Government Agencies
Health Policy -- economics
Health Policy -- legislation & jurisprudence
Medical Records Systems, Computerized -- economics
Medical Records Systems, Computerized -- legislation & jurisprudence
Medicare
Reimbursement, Incentive
State Government
Humans
California
United States
United States.

2. CMS validated hospital inpatient quality reporting program data, but should use additional tools to identify gaming

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, April 2017
Subject(s):
Economics, Hospital
Insurance, Health, Reimbursement
Quality Indicators, Health Care
Reimbursement, Incentive
Cross Infection
Inpatients
Mandatory Reporting
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

3. Followup review: CMS's management of the quality payment program

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, December 2017
Subject(s):
Insurance, Health, Reimbursement
Medical Informatics
Medicare Part B -- economics
Quality of Health Care -- economics
Reimbursement, Incentive
Diffusion of Innovation
Fraud -- prevention & control
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

4. How nursing affects Medicare's outcome-based hospital payments

Author(s):
Yakusheva, Olga, author
Lindrooth, Richard C., author
Weiner, Janet, author
Spetz, Joanne, author
Pauly, Mark V., author
Publication:
[Philadelphia, Pennsylvania] : Leonard Davis Institute of Health Economics, November 2015
Subject(s):
Cost-Benefit Analysis
Medicare -- economics
Nurses
Nurse's Role
Nursing Staff, Hospital -- economics
Outcome Assessment (Health Care)
Cross Infection -- economics
Health Care Costs
Health Care Reform -- legislation & jurisprudence
Patient Readmission -- economics
Patient Readmission -- legislation & jurisprudence
Quality Indicators, Health Care
Quality of Health Care
Reimbursement, Incentive
Value-Based Purchasing
Humans
United States
United States.

5. Effect of financial incentives to physicians, patients, or both on lipid levels: a randomized clinical trial

Author(s):
Asch, David A., author
Troxel, Andrea B., author
Stewart, Walter F., author
Sequist, Thomas D., author
Jones, James B., author
Hirsch, AnneMarie G., author
Hoffer, Karen, author
Zhu, Jingsan, author
Wang, Wenli, author
Hodolfski, Amanda, author
Frasch, Antoinette B., author
Weiner, Mark G., author
Finnerty, Darra D., author
Rosenthal, Meredith B., author
Gangemi, Kelsey, author
Volpp, Kevin G., author
Publication:
Philadelphia, PA : Leonard Davis Institute of Health Economics, 2016
Subject(s):
Cholesterol, LDL
Hydroxymethylglutaryl-CoA Reductase Inhibitors -- therapeutic use
Hypercholesterolemia -- drug therapy
Medication Adherence
Motivation
Reimbursement, Incentive
Goals
Physicians, Family
Randomized Controlled Trials as Topic
Humans
United States

6. Impact of Medicare Advantage prescription drug plan star ratings on enrollment before and after implementation of quality-related bonus payments in 2012

Author(s):
Li, Pengxiang, author
Doshi, Jalpa A., author
Publication:
Philadelphia, PA : Leonard Davis Institute of Health Economics, May 2016
Subject(s):
Insurance, Pharmaceutical Services -- economics
Medicare Part C -- economics
Medicare Part C -- utilization
Quality of Health Care
Reimbursement, Incentive
Longitudinal Studies
Medicare Part D -- economics
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

7. Enabling sustainable investment in social interventions: a review of Medicaid managed care rate-setting tools

Author(s):
Bachrach, Deborah, author
Guyer, Jocelyn, author
Meier, Sarah, author
Meerschaert, John, author
Brandel, Shelly, author
Publication:
[New York, N.Y.] : Commonwealth Fund, January 2018
Subject(s):
Managed Care Programs -- economics
Medicaid -- economics
Social Determinants of Health
Social Support
Socioeconomic Factors
Insurance, Health, Reimbursement
Reimbursement Mechanisms
Reimbursement, Incentive
State Government
Value-Based Purchasing
Humans
United States

8. Improving chronic care for children in California: learning from Medicare

Author(s):
Schor, Edward L., author
Publication:
Palo Alto, CA : Lucile Packard Foundation for Children's Health, January 2018
Subject(s):
Adolescent Health Services
Child Health Services
Chronic Disease -- therapy
Multiple Chronic Conditions -- therapy
Quality of Health Care
Adolescent
Child
Home Care Services
Long-Term Care
Reimbursement, Incentive
Telemedicine
Humans
California
United States

9. Program promotes the establishment of hospital VTE prevention programs

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2011
Subject(s):
Hospital Administration -- methods
Program Development
Pulmonary Embolism -- prevention & control
Venous Thromboembolism -- prevention & control
Venous Thrombosis -- prevention & control
Cost Savings -- methods
Data Collection
Evidence-Based Practice
Guideline Adherence
Incidence
Inservice Training
Practice Guidelines as Topic
Pulmonary Embolism -- epidemiology
Quality Indicators, Health Care
Reimbursement, Incentive
Venous Thromboembolism -- epidemiology
Venous Thrombosis -- epidemiology
Humans
United States

10. Aiming for fewer hospital u-turns: the Medicare hospital readmission reduction program

Author(s):
Boccuti, Cristina, author
Casillas, Giselle, author
Publication:
Menlo Park, CA : Henry J. Kaiser Family Foundation, March 2017
Subject(s):
Hospitals
Medicare
Patient Readmission -- statistics & numerical data
Government Programs
Patient Readmission -- economics
Reimbursement Mechanisms
Reimbursement, Incentive
Humans
United States

12. Post-acute care and beyond: responding to the growing need for chronic care

Author(s):
Summer, Laura, author
Publication:
[Washington, D.C.] : AcademyHealth, March 2017
Subject(s):
Chronic Disease -- therapy
Long-Term Care -- organization & administration
Subacute Care -- organization & administration
Value-Based Purchasing
Accountable Care Organizations
Consumer Behavior
Cost Control
Forecasting
Health Policy
Medicaid -- economics
Medicare -- economics
Patient Readmission
Quality Indicators, Health Care
Reimbursement Mechanisms
Reimbursement, Incentive
Skilled Nursing Facilities
Social Support
Subacute Care -- trends
Humans
United States
United States.

13. Addressing patients' social needs: an emerging business case for provider investment

Author(s):
Bachrach, Deborah, author
Pfister, Helen, author
Wallis, Kier, author
Lipson, Mindy, author
Manatt, Phelps & Phillips. Manatt Health Solutions, author.
Publication:
[New York, N.Y.] : Commonwealth Fund, 2014
Subject(s):
Commerce
Health Promotion -- economics
Health Promotion -- methods
Social Determinants of Health
Forecasting
Health Care Costs
Health Promotion -- legislation & jurisprudence
Health Promotion -- trends
Models, Economic
Organizational Case Studies
Patient Satisfaction
Reimbursement, Incentive
Social Environment
Socioeconomic Factors
Humans
United States
United States.

14. The Affordable Care Act and the U.S. economy: a five-year perspective

Author(s):
Schoen, Cathy, author
Publication:
[New York, N.Y.] : Commonwealth Fund, February 2016
Subject(s):
Health Care Costs -- statistics & numerical data
Health Care Costs -- trends
Health Care Reform -- economics
Health Care Reform -- statistics & numerical data
Health Care Reform -- trends
Employment -- statistics & numerical data
Employment -- trends
Forecasting
Health Care Sector
Health Expenditures -- statistics & numerical data
Health Expenditures -- trends
Insurance, Health, Reimbursement
Medically Uninsured -- statistics & numerical data
Medicare -- economics
Medicare -- statistics & numerical data
Medicare -- trends
Patient Admission -- statistics & numerical data
Patient Readmission
Primary Health Care
Private Sector
Reimbursement, Incentive
Unemployment -- statistics & numerical data
Unemployment -- trends
Humans
United States
United States.

15. Integration, concentration, and competition in the provider marketplace

Publication:
[Washington, D.C.] : AcademyHealth, [2011]
Subject(s):
Delivery of Health Care, Integrated -- organization & administration
Health Care Sector -- statistics & numerical data
Health Care Sector -- trends
Accountable Care Organizations
Antitrust Laws
Cost Control
Economic Competition
Forecasting
Group Practice
Health Care Reform
Health Facility Merger -- trends
Health Manpower
Health Policy
Hospital Administration
Hospital-Physician Relations
Hospitals, Group Practice
Public Policy
Quality of Health Care
Reimbursement, Incentive
Humans
United States
United States.

17. Building medical homes: lessons from eight states with emerging programs

Publication:
[New York, N.Y.] : Commonwealth Fund, [2011]
Subject(s):
Models, Organizational
Patient-Centered Care -- economics
Primary Health Care -- economics
Program Development
Financing, Government
Health Care Costs
Outcome Assessment (Health Care)
Patient Satisfaction
Patient-Centered Care -- standards
Program Evaluation
Quality Assurance, Health Care -- methods
Quality Assurance, Health Care -- standards
Reimbursement, Incentive
Single-Payer System
State Government
Humans
United States

19. The federal role in promoting health information technology

Publication:
[New York, N.Y.] : Commonwealth Fund, [2009]
Subject(s):
Diffusion of Innovation
Electronic Health Records
Federal Government
Medical Informatics
Role
Efficiency
Electronic Health Records -- economics
Electronic Health Records -- utilization
Financing, Government
Medical Informatics -- economics
Quality of Health Care -- economics
Reimbursement, Incentive
Humans
United States

20. Health care opinion leaders' views on transparency and pricing

Publication:
[New York, N.Y.] : Commonwealth Fund, [2010]
Subject(s):
Costs and Cost Analysis -- statistics & numerical data
Disclosure
Information Services
Rate Setting and Review -- methods
Capitation Fee
Choice Behavior
Economic Competition
Health Benefit Plans, Employee -- economics
Health Care Surveys
Leadership
Physicians -- economics
Public Sector
Quality Assurance, Health Care
Reimbursement, Incentive
Relative Value Scales
Humans
United States
United States.

21. High performance accountable care: building on success and learning from experience

Publication:
[New York, N.Y.] : Commonwealth Fund, [2011]
Subject(s):
Delivery of Health Care -- methods
Efficiency, Organizational
Medicare
Models, Organizational
Physician Incentive Plans
Primary Health Care -- organization & administration
Quality Assurance, Health Care
Reimbursement, Incentive
Cost Savings
Group Practice
Humans
United States
United States.

23. Implementing New York's DSRIP program: implications for Medicaid payment and delivery system reform

Author(s):
Bachrach, Deborah, author
Bernstein, William, author
Augenstein, Jared, author
Lipson, Mindy, author
Ellis, Reni, author
Publication:
[New York, New York] : Commonwealth Fund, April 2016
Subject(s):
Delivery of Health Care -- methods
Health Care Reform -- economics
Medicaid -- economics
Reimbursement, Incentive
Information Dissemination
Managed Care Programs
Preferred Provider Organizations
Socioeconomic Factors
Humans
New York
United States
Centers for Medicare & Medicaid Services (U.S.)

24. Hill Physicians Medical Group: independent physicians working to improve quality and reduce costs

Publication:
New York, N.Y. : Commonwealth Fund, [2009]
Subject(s):
Independent Practice Associations -- organization & administration
Organizational Case Studies
Quality Assurance, Health Care
Quality Indicators, Health Care
Algorithms
Chronic Disease -- therapy
Delivery of Health Care
Health Care Reform
Organizational Culture
Physician Incentive Plans
Reimbursement, Incentive
Safety
Humans
United States

25. Hospital value-based purchasing: CMS should take steps to ensure lower quality hospitals do not qualify for bonuses : report to Congressional committees

Publication:
Washington, D.C. : U.S. Government Accountability Office, June 2017
Subject(s):
Economics, Hospital
Quality of Health Care
Reimbursement, Incentive
Value-Based Purchasing
Hospitals, Rural -- economics
Hospitals, Urban -- economics
Safety-net Providers -- economics
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

26. Reducing low-value care: research questions identified by researchers, patients, physicians, and stakeholders

Author(s):
Esmail, Laura, author
Wolfson, Daniel, author
Simpson, Lisa, author
Publication:
[Washington, D.C.] : AcademyHealth, April 2016
Subject(s):
Patient Participation
Stakeholder Participation
Unnecessary Procedures -- utilization
Value-Based Purchasing
Chronic Disease
Decision Support Techniques
Education, Medical
Electronic Health Records
Evidence-Based Medicine
Health Care Reform
Patient Care Planning
Patient Preference
Physician's Role
Practice Patterns, Physicians'
Reimbursement, Incentive
Research
Risk Sharing, Financial
Terminal Care
Humans
United States

27. Making the case for prevention: why Washington's Accountable Communities of Health should pursue Domain 3D chronic disease prevention projects

Author(s):
Crawford, Maia, author
Spencer, Anna, author
Publication:
[Washington, D.C.] : AcademyHealth, February 2018
Subject(s):
Chronic Disease -- prevention & control
Community Health Services
Medicaid
Preventive Health Services
Asthma -- prevention & control
Chronic Disease -- economics
Cost Savings
Diabetes Mellitus, Type 2 -- prevention & control
Health Expenditures
Heart Diseases -- prevention & control
Insurance, Health, Reimbursement
Obesity -- prevention & control
Population Health
Primary Prevention
Reimbursement, Incentive
State Government
Value-Based Purchasing
Humans
United States
Washington

29. Keeping watch: building state capacity to oversee Medicaid managed long-term services and supports

Publication:
Washington, D.C. : AARP Public Policy Institute, c2012
Subject(s):
Health Services for the Aged -- organization & administration
Long-Term Care -- organization & administration
Managed Care Programs -- economics
Medicaid -- organization & administration
Patient Care Management -- methods
State Government
Activities of Daily Living
Aged
Chronic Disease
Contract Services -- economics
Disabled Persons
Health Services Needs and Demand
Homemaker Services -- economics
Insurance Selection Bias
Medicaid -- economics
Primary Health Care
Reimbursement, Incentive
Risk Sharing, Financial -- economics
Humans
United States

32. Transforming community health centers into patient-centered medical homes: the role of payment reform

Author(s):
Ku, Leighton, author
Shin, Peter, author
Jones, Emily, author
Bruen, Brian, author
Publication:
[New York, N.Y.] : Commonwealth Fund, September 2011
Subject(s):
Community Health Centers -- organization & administration
Community Health Services -- organization & administration
Health Care Reform
Patient-Centered Care -- statistics & numerical data
Patient-Centered Care -- trends
Reimbursement, Incentive
United States
United States. Health Resources and Services Administration.
United States.

34. Organizing for higher performance: case studies of organized delivery systems : series overview, findings, and methods

Author(s):
McCarthy, Douglas, author
Mueller, Kimberly, author
Publication:
[New York, N.Y.] : Commonwealth Fund, July 2009
Subject(s):
Delivery of Health Care, Integrated -- organization & administration
Organizational Case Studies
Quality Assurance, Health Care -- organization & administration
Quality Indicators, Health Care
Electronic Health Records
Electronic Prescribing
Health Services Accessibility
Patient Care Team
Patient-Centered Care
Patient Satisfaction
Peer Review
Reimbursement, Incentive
Humans
United States

35. Reforming provider payment: essential building block for health reform

Author(s):
Guterman, Stuart, author
David, Karen, author
Schoen, Cathy, author
Stremikis, Kristof, author
Commonwealth Fund, author.
Publication:
[New York, N.Y.] : Commonwealth Fund, March 2009
Subject(s):
Health Care Reform -- economics
Insurance, Health, Reimbursement -- economics
Reimbursement, Incentive
Reimbursement Mechanisms
Chronic Disease -- economics
Cost Control
Forecasting
Health Care Reform -- trends
Health Expenditures
Insurance, Health, Reimbursement -- trends
Medicaid -- economics
Medicare -- economics
Patient Readmission -- economics
Patient-Centered Care -- economics
Physician Incentive Plans -- economics
Primary Health Care -- economics
Private Sector
Public Sector
Humans
United States

37. Starting on the path to a high performance health system: analysis of the payment and system reform provisions in the Patient Protection and Affordable Care Act of 2010

Author(s):
Davis, Karen, author
Guterman, Stuart, author
Collins, Sara R., author
Stremikis, Kristof, author
Rustgi, Sheila, author
Nuzum, Rachel, author
Publication:
[New York, N.Y.] : Commonwealth Fund, September 2010
Subject(s):
Health Care Reform -- legislation & jurisprudence
Insurance Coverage -- legislation & jurisprudence
Insurance, Health -- legislation & jurisprudence
Quality Assurance, Health Care -- organization & administration
Reimbursement, Incentive
United States

39. A close look at Medi-Cal managed care: stories of quality improvement success

Author(s):
Chapman, Athena, author
Evenson, Elizabeth, author
Davis, Caroline, author
Publication:
[Oakland, California] : California Health Care Foundation, September 2019
Subject(s):
Managed Care Programs
Medicaid
Quality of Health Care
Leadership
Quality Indicators, Health Care
Reimbursement, Incentive
State Government
Humans
California
United States