Reimbursement Mechanisms

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  Subject Areas on Research

  • "Commercialization," a perspective. 
  • A Roadmap for Value-Based Payment Models Among Patients With Cirrhosis. 
  • A multidimensional approach to case mix for home health services. 
  • A multivariate approach for classifying hospitals and computing blended payment rates. 
  • A policy approach to the development of molecular diagnostic tests. 
  • A systematic review of women's and health professional's attitudes and experience of preconception care service delivery. 
  • ACR Presidential Address: RethinkingRheumatology: A Brave New World. 
  • Advance care planning in Medicare: an early look at the impact of new reimbursement on billing and clinical practice. 
  • Aligning payment reform and delivery innovation in emergency care. 
  • Alternative payment models and urology. 
  • American Society of Pediatric Nephrology position paper on linking reimbursement to quality of care. 
  • Are Small Reimbursement Changes Enough to Change Cancer Care? Reimbursement Variation in Prostate Cancer Treatment. 
  • Association between physician billing and cardiac stress testing patterns following coronary revascularization. 
  • Association between the Medicare Modernization Act of 2003 and patient wait times and travel distance for chemotherapy. 
  • Association of a Bundled-Payment Program With Cost and Outcomes in Full-Cycle Breast Cancer Care. 
  • Benchmarking the American Society of Breast Surgeon Member Performance for More Than a Million Quality Measure-Patient Encounters. 
  • Cardiac care for older adults. Time for a new paradigm. 
  • Caring for patients with sickle cell disease in North Carolina. 
  • Centers for Medicare & Medicaid Services' decision on drug-coated balloons: No additional reimbursement despite higher cost and highest levels of scientific evidence. 
  • Changes in Medicare reimbursement for echocardiographic procedures. 
  • Changing patterns of hospitalization for children requiring surgery. 
  • Clinical oncologic positron emission tomography: an introduction. 
  • Cognitive behavioral control of arthritis pain. 
  • Commentary: Personalized health planning and the Patient Protection and Affordable Care Act: an opportunity for academic medicine to lead health care reform. 
  • Competencies and Tools to Shift Payments From Volume to Value. 
  • Consequence of the Omnibus Budget Reconciliation Act of 1987: elimination of markup for certain diagnostic tests. 
  • Cost effectiveness of home and community-based care. 
  • Creating value in health by understanding and overcoming resistance to de-innovation. 
  • Crises in echocardiography. 
  • Cross-subsidies and payment for hospital care. 
  • Design and baseline characteristics of participants in the TRial of Economic Incentives to Promote Physical Activity (TRIPPA): a randomized controlled trial of a six month pedometer program with financial incentives. 
  • Determining benchmarks for evaluation and management coding in an academic division of general surgery. 
  • Dissemination and commercialization of hematopoietic progenitor cell transplantation. 
  • Does payment drive procedures? Payment for specialty services and procedure rate variations in 3 HMOs. 
  • Economic implications of potential changes to regulatory and reimbursement policies for medical devices. 
  • Editorial comment. 
  • Effect of cuts in Medicare reimbursement on process and outcome of care for acute myocardial infarction patients. 
  • Episode-based Payment Variation for Urologic Cancer Surgery. 
  • Estimating potential for savings for low risk endometrial cancer using the Endometrial Cancer Alternative Payment Model (ECAP): A companion paper to the Society of Gynecologic Oncology Report on the Endometrial Cancer Alternative Payment Model. 
  • External Factors That Influence the Practice of Radiology: Proceedings of the International Society for Strategic Studies in Radiology Meeting. 
  • Gender variation in Medicare utilization and payments in gynecologic oncology. 
  • Grading a physician's value--the misapplication of performance measurement. 
  • Healthcare payment incentives: a comparative analysis of reforms in Taiwan, South Korea and China. 
  • Hitting a moving target: toward a compliance-driven patient record. 
  • Impact of alternative reimbursement strategies in the new cooperative medical scheme on caesarean delivery rates: a mixed-method study in rural China. 
  • Implementation of a pharmacogenomics service in a community pharmacy. 
  • Improving health by taking it personally. 
  • In situ monitoring of health in older adults: technologies and issues. 
  • Incentives for children in research. 
  • Innovation in care for individuals with cognitive impairment: Can reimbursement policy spread best practices? 
  • Interpretation of echocardiographic data: are physicians and sonographers violating the law? 
  • Life table methods for assessing the dynamics of U.S. nursing home utilization: 1976-1977. 
  • Linkage of Laboratory Results to Medicare Fee-for-Service Claims. 
  • Longitudinal evidence on punctal plug use in an elderly population. 
  • Medicare pricing mechanisms for physician services: an overview of alternative approaches. 
  • Medicare's demonstration of expanded coverage for chiropractic services: limitations of the demonstration and an alternative direct cost estimate. 
  • Mental health services system research: the National Institute of Mental Health program. 
  • Microsurgery costs and outcome. 
  • Money talks, patients walk? 
  • Moving Beyond the Walls of the Clinic: Opportunities and Challenges to the Future of Telehealth in Heart Failure. 
  • Nurses for patient-centered medical homes 
  • Obesity as a disease: has the AMA resolution had an impact on how physicians view obesity? 
  • Oncology Care Model: Short- and Long-Term Considerations in the Context of Broader Payment Reform. 
  • Oncology payment reform to achieve real health care reform. 
  • Orders- Versus Encounters-Based Image Capture: Implications Pre- and Post-Procedure Workflow, Technical and Build Capabilities, Resulting, Analytics and Revenue Capture: HIMSS-SIIM Collaborative White Paper. 
  • Payment Reform to Enhance Collaboration of Primary Care and Cardiology: A Review. 
  • Payment for quality: guiding principles and recommendations: principles and recommendations from the American Heart Association's Reimbursement, Coverage, and Access Policy Development Workgroup. 
  • Pennsylvania's voluntary benefits program: evaluating an innovative proposal for increasing organ donation. 
  • Physician payment for 2007: a description of the process by which major changes in valuation of cardiothoracic surgical procedures occurred. 
  • Physician reimbursement: Diagnosis and prescription 
  • Physicians' beliefs and U.S. health care reform--a national survey. 
  • Practice profile. Community collaboration to improve care and reduce health disparities. 
  • Preprocedural Checklist for Magnetic Resonance Imaging Patients Undergoing General Anesthesia: A Process Improvement Plan to Enhance Reimbursement. 
  • Principles for a Framework for Alternative Payment Models. 
  • Prior authorization policies in Medicaid programs: The importance of study design and analysis on findings and outcomes from research. 
  • Prospective payment and psychiatric discharges from general hospitals with and without psychiatric units. 
  • Prospective payment for hospital capital by Medicare: issues and options. 
  • Providing care at the end of life: do Medicare rules impede good care? 
  • Providing services in nursing homes. A physician's legal obligations. 
  • Public Health Impact of the Centers for Medicare and Medicaid Services Decision on Pass-Through Add-On Payments for Drug-Coated Balloons: A Call to Action. 
  • Rates, amounts, and determinants of ambulatory blood pressure monitoring claim reimbursements among Medicare beneficiaries. 
  • Realizing the Full Potential of Precision Medicine in Health and Health Care. 
  • Regulation and competition in the Taiwanese pharmaceutical market under national health insurance. 
  • Reimbursement update: looking toward the 1990s. 
  • Removing a constraint on hospital utilization: a natural experiment in Maryland. 
  • Should doctors ever lie on behalf of patients? 
  • Society of Gynecologic Oncology Future of Physician Payment Reform Task Force report: The Endometrial Cancer Alternative Payment Model (ECAP). 
  • Society of gynecologic oncology future of physician payment reform task force: Lessons learned in developing and implementing surgical alternative payment models. 
  • The Affordable Care Act: What's Next? 
  • The American Society of Breast Surgeons and Quality Payment Programs: Ranking, Defining, and Benchmarking More Than 1 Million Patient Quality Measure Encounters. 
  • The Association Between Hospital Finances and Complications After Complex Abdominal Surgery: Deficiencies in the Current Health Care Reimbursement System and Implications for the Future. 
  • The Medicare Modernization Act and reimbursement for outpatient chemotherapy: do patients perceive changes in access to care? 
  • The complexity of chronic disease at later ages: practical implications for prospective payment and data collection. 
  • The danger of reducing reimbursement for psychiatric disorders in late life. 
  • The determinants of health care expenditure toward the end of life: evidence from Taiwan. 
  • Top 10 Tips for Using Advance Care Planning Codes in Palliative Medicine and Beyond. 
  • Total joint arthroplasty: trends in medicare reimbursement and implant prices. 
  • Trends in Cost of Major Eye Diseases to Medicare, 1991 to 2000 
  • Use of outpatient care in Veterans Health Administration and Medicare among veterans receiving primary care in community-based and hospital outpatient clinics. 
  • Utilization and expenses of outpatient services among tuberculosis patients in three Chinese counties: an observational comparison study. 
  • Views of US physicians about controlling health care costs. 
  • Why has hospital length of stay declined? An evaluation of alternative theories. 
  • Wide variation in payments for Medicare beneficiary oncology services suggests room for practice-level improvement. 
  • Will Changes to Medicare Payment Rates Alter Hospice's Cost-Saving Ability?