Fee-for-Service Plans

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  Subject Areas on Research

  • 30-day mortality and readmission after hemorrhagic stroke among Medicare beneficiaries in Joint Commission primary stroke center-certified and noncertified hospitals. 
  • A Survey of Primary Care Practices on Their Use of the Intensive Behavioral Therapy for Obese Medicare Patients. 
  • A clinical cardiovascular magnetic resonance service: operational considerations and the basic examination. 
  • A comparison of self-reported utilization of ophthalmic care for diabetes in managed care versus fee-for-service. 
  • A comparison of the case-control and case-crossover designs for estimating medical costs of nonfatal fall-related injuries among older Americans. 
  • ACO Serious Illness Care: Survey And Case Studies Depict Current Challenges And Future Opportunities. 
  • Accountable care organizations and evidence-based payment reform. 
  • Alternative Payment Models and Associations With Stroke Outcomes, Spending, and Service Utilization: A Systematic Review. 
  • Alternative payment models and urology. 
  • Are Small Reimbursement Changes Enough to Change Cancer Care? Reimbursement Variation in Prostate Cancer Treatment. 
  • Association of ACO Shared Savings Success and Serious Illness Spending. 
  • Association of a Bundled-Payment Program With Cost and Outcomes in Full-Cycle Breast Cancer Care. 
  • Association of early physician follow-up and 30-day readmission after non-ST-segment-elevation myocardial infarction among older patients. 
  • Association of patient case-mix adjustment, hospital process performance rankings, and eligibility for financial incentives. 
  • Association of the Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure. 
  • Behavioral Health Integration into Primary Care: a Microsimulation of Financial Implications for Practices. 
  • Claims-based cardiovascular outcome identification for clinical research: Results from 7 large randomized cardiovascular clinical trials. 
  • Comorbidity, age, race and stage at diagnosis in colorectal cancer: a retrospective, parallel analysis of two health systems. 
  • Comparing mortality and time until death for medicare HMO and FFS beneficiaries. 
  • Comparing the use of diagnostic imaging and receipt of carotid endarterectomy in elderly black and white stroke patients. 
  • Competencies and Tools to Shift Payments From Volume to Value. 
  • Continuing care retirement communities: prospects for reducing institutional long-term care. 
  • Cost analysis of periprocedural imaging in patients undergoing catheter ablation for atrial fibrillation. 
  • Cross-Sectional Analysis of Per Capita Supply of Doctors of Chiropractic and Opioid Use in Younger Medicare Beneficiaries. 
  • Defining Value-Based Care in Cardiac and Vascular Anesthesiology: The Past, Present, and Future of Perioperative Cardiovascular Care. 
  • Disease Burden Following Non-Cardioembolic Minor Ischemic Stroke or High-Risk TIA: A GWTG-Stroke Study. 
  • Disenrollment from Medicare HMOs. 
  • Do heart failure disease management programs make financial sense under a bundled payment system? 
  • Does Favorable Selection Among Medicare Advantage Enrollees Affect Measurement of Hospital Readmission Rates? 
  • Does Medicaid pay more to a program of all-inclusive care for the elderly (PACE) than for fee-for-service long-term care? 
  • Early Ambulation Among Hospitalized Heart Failure Patients Is Associated With Reduced Length of Stay and 30-Day Readmissions. 
  • Economic winners and losers after introduction of an effective new therapy depend on the type of payment system. 
  • Effect of patient selection method on provider group performance estimates. 
  • Existing and Emerging Payment and Delivery Reforms in Cardiology. 
  • Facility and Geographic Variation in Rates of Successful Community Discharge After Inpatient Rehabilitation Among Medicare Fee-for-Service Beneficiaries. 
  • Few Disparities in Baseline Laboratory Testing After the Diuretic or Digoxin Initiation by Medicare Fee-For-Service Beneficiaries. 
  • Financial Effect of Unbundling Moderate Sedation from Procedural Codes in Radiology. 
  • Financial Margins for Prostate Cancer Surgery: Quantifying the Impact of Modifiable Cost Inputs in an Episode Based Reimbursement Model. 
  • Frequency of Disparities in Laboratory Testing After Statin Initiation in Subjects ≥65 Years. 
  • Fully Capitated Payment Breakeven Rate for a Mid-Size Pediatric Practice. 
  • Generalizability and longitudinal outcomes of a national heart failure clinical registry: Comparison of Acute Decompensated Heart Failure National Registry (ADHERE) and non-ADHERE Medicare beneficiaries. 
  • Health plan enrollment and mortality in the Medicare program. 
  • Hospital Readmissions and Mortality Among Fee-for-Service Medicare Patients With Minor Stroke or Transient Ischemic Attack: Findings From the COMPASS Cluster-Randomized Pragmatic Trial. 
  • Hospital readmissions reduction program. 
  • Impact of managed care on the treatment, costs, and outcomes of fee-for-service Medicare patients with acute myocardial infarction. 
  • Improving Oncology Quality Measurement in Accountable Care: Filling Gaps with Cross-Cutting Measures. 
  • Influence of insurance type on the use of procedures, medications and hospital outcome in patients with unstable angina: results from the GUARANTEE Registry. Global Unstable Angina Registry and Treatment Evaluation. 
  • Inpatient Consults and Complications During Primary Total Joint Arthroplasty in a Bundled Care Model. 
  • Is the target income hypothesis an economic heresy? 
  • Lab-based and diagnosis-based chronic kidney disease recognition and staging concordance. 
  • Left ventricular ejection fraction test rates for Medicare beneficiaries with heart failure. 
  • Linkage of Laboratory Results to Medicare Fee-for-Service Claims. 
  • Measuring the burden of multimorbidity among Medicare beneficiaries via condition counts and cumulative duration. 
  • Medical Marijuana Laws May Be Associated With A Decline In The Number Of Prescriptions For Medicaid Enrollees. 
  • Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays. 
  • Medicare Shared Savings ACOs and Hospice Care for Ischemic Stroke Patients. 
  • Medicare physician payment reform: will 2014 be the fix for SGR? 
  • Medicare's New Quality Payment Program Has Started-Are You Ready? 
  • More Value From Payment Reform in Health Care and Biomedical Innovation. 
  • Motor and Cognitive Functional Status Are Associated with 30-day Unplanned Rehospitalization Following Post-Acute Care in Medicare Fee-for-Service Beneficiaries. 
  • Moving Beyond the Walls of the Clinic: Opportunities and Challenges to the Future of Telehealth in Heart Failure. 
  • Need for eye care among older adults with diabetes mellitus in fee-for-service and managed Medicare. 
  • Oncology payment reform to achieve real health care reform. 
  • Opioid Prescribing in the 2016 Medicare Fee-for-Service Population. 
  • Out-of-pocket payments for part d covered medications by medicare fee-for-service beneficiaries with heart failure with reduced ejection fraction. 
  • Outcomes and cost among Medicare beneficiaries hospitalized for heart failure assigned to accountable care organizations. 
  • Outlook for Alternative Payment Models in Fee-for-Service Medicare. 
  • Outpatient utilization patterns of integrated and split psychotherapy and pharmacotherapy for depression. 
  • Patients' preferences explain a small but significant share of regional variation in medicare spending. 
  • Patterns of care for clinically distinct segments of high cost Medicare beneficiaries. 
  • Payment for Integrated Care: Challenges and Opportunities. 
  • Periprocedural imaging and outcomes after catheter ablation of atrial fibrillation. 
  • Physicians who report health insurance fraud and their practice type: health maintenance organization vs fee-for-service. 
  • Practice profile. Community collaboration to improve care and reduce health disparities. 
  • Prevalence and cost of insomnia in a state Medicaid fee-for-service population based on diagnostic codes and prescription utilization. 
  • Preventable readmissions within 30 days of ischemic stroke among Medicare beneficiaries. 
  • QRS duration, bundle-branch block morphology, and outcomes among older patients with heart failure receiving cardiac resynchronization therapy. 
  • Quality Measurement and Pay for Performance. 
  • Quality of Care and Outcomes Among Medicare Advantage vs Fee-for-Service Medicare Patients Hospitalized With Heart Failure. 
  • Quality outcomes, healthcare resource utilization and costs in Medicare patients with chronic heart failure with reduced ejection fraction with and without a worsening event. 
  • Rapid rise in the cost of targeted cancer therapies for Medicare patients with solid tumors from 2006 to 2015. 
  • Reading RVUs: How can we meet the informational needs of cardiologists? 
  • Receipt of monitoring of diabetes mellitus in older adults with comorbid dementia. 
  • Reform of the Chinese health care financing system. 
  • Regional Variation in 30-Day Ischemic Stroke Outcomes for Medicare Beneficiaries Treated in Get With The Guidelines-Stroke Hospitals. 
  • Relationship between Hospital 30-Day Mortality Rates for Heart Failure and Patterns of Early Inpatient Comfort Care. 
  • Representativeness of the Get With The Guidelines-Stroke Registry: comparison of patient and hospital characteristics among Medicare beneficiaries hospitalized with ischemic stroke. 
  • Resource use and costs associated with diabetic macular edema in elderly persons. 
  • Selection Bias in Observational Studies of Palliative Care: Lessons Learned. 
  • Selection experiences in Medicare HMOs: pre-enrollment expenditures. 
  • Service use and health status of persons with severe mental illness in full-risk and no-risk medicaid programs. 
  • Service utilization comparison of South Carolina Medicaid fee-for-service (FFS), Physician Enhanced Plan (PEP) and Health Maintenance Organization (HMO) models. 
  • Shifting Away From Fee-For-Service: Alternative Approaches to Payment in Gastroenterology. 
  • Should an academic radiation oncologist be allowed to "opt out" of medicare? 
  • Simulated Costs of the ASCO Patient-Centered Oncology Payment Model in Medicare Beneficiaries With Newly Diagnosed Advanced Ovarian Cancer. 
  • Spillover Effects of Massachusetts Health Reform on Mental Health Use by VA and Medicare Dual Enrollees. 
  • Spinal surgery: variations in health care costs and implications for episode-based bundled payments. 
  • Successful Community Discharge Following Postacute Rehabilitation for Medicare Beneficiaries: Analysis of a Patient-Centered Quality Measure. 
  • The association between the supply of select nonpharmacologic providers for pain and use of nonpharmacologic pain management services and initial opioid prescribing patterns for Medicare beneficiaries with persistent musculoskeletal pain. 
  • The effect of Medicare Advantage enrollment on mammographic screening. 
  • The effect of managed care penetration on the treatment of AMI in the fee-for-service Medicare population. 
  • The structure of critical care transfer networks. 
  • Top 10 Tips About the Physician Quality Reporting System for Palliative Care Professionals. 
  • Treating age-related macular degeneration: comparing the use of two drugs among medicare and veterans affairs populations. 
  • Trends in 1-Year Recurrent Ischemic Stroke in the US Medicare Fee-for-Service Population. 
  • Trends in one-year recurrent ischemic stroke among the elderly in the USA: 1994-2002. 
  • Trends in settings for peripheral vascular intervention and the effect of changes in the outpatient prospective payment system. 
  • Use and Cost of Actinic Keratosis Destruction in the Medicare Part B Fee-for-Service Population, 2007 to 2015. 
  • Use of erythropoietin in cancer patients: assessment of oncologists' practice patterns in the United States and other countries. 
  • Using a home time measure to differentiate ACO performance for seriously ill populations. 
  • Utilization of Lung Cancer Screening in the Medicare Fee-for-Service Population. 
  • Value-Based Care in Orthopedic Trauma. 
  • Variation in Specialty Outpatient Care Patterns in the Medicare Population. 
  • Variations in cataract extraction rates in Medicare prepaid and fee-for-service settings. 
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  Keywords of People

  • Curtis, Lesley H., Professor in Population Health Sciences, Medicine, General Internal Medicine
  • Grambow, Steven C., Associate Professor of Biostatistics & Bioinformatics, Biostatistics & Bioinformatics
  • Zafar, Syed Yousuf, Adjunct Professor in the Department of Medicine, Duke Science & Society