Fostering accountable health care: moving forward in medicare.
Publication
, Journal Article
Fisher, ES; McClellan, MB; Bertko, J; Lieberman, SM; Lee, JJ; Lewis, JL; Skinner, JS
Published in: Health affairs (Project Hope)
March 2009
To succeed, health care reform must slow spending growth while improving quality. We propose a new approach to help achieve more integrated and efficient care by fostering local organizational accountability for quality and costs through performance measurement and "shared savings" payment reform. The approach is practical and feasible: it is voluntary for providers, builds on current referral patterns, requires no change in benefits or lock-in for beneficiaries, and offers the possibility of sustained provider incomes even as total costs are constrained. We simulate the potential expenditure impact and show that significant Medicare savings are possible.
Duke Scholars
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Published In
Health affairs (Project Hope)
DOI
EISSN
1544-5208
ISSN
0278-2715
Publication Date
March 2009
Volume
28
Issue
2
Start / End Page
w219 / w231
Related Subject Headings
- United States
- Social Responsibility
- Medicare
- Humans
- Health Services Accessibility
- Health Policy & Services
- Health Care Reform
- Financial Management
- 4407 Policy and administration
- 4203 Health services and systems
Citation
APA
Chicago
ICMJE
MLA
NLM
Fisher, E. S., McClellan, M. B., Bertko, J., Lieberman, S. M., Lee, J. J., Lewis, J. L., & Skinner, J. S. (2009). Fostering accountable health care: moving forward in medicare. Health Affairs (Project Hope), 28(2), w219–w231. https://doi.org/10.1377/hlthaff.28.2.w219
Fisher, Elliott S., Mark B. McClellan, John Bertko, Steven M. Lieberman, Julie J. Lee, Julie L. Lewis, and Jonathan S. Skinner. “Fostering accountable health care: moving forward in medicare.” Health Affairs (Project Hope) 28, no. 2 (March 2009): w219–31. https://doi.org/10.1377/hlthaff.28.2.w219.
Fisher ES, McClellan MB, Bertko J, Lieberman SM, Lee JJ, Lewis JL, et al. Fostering accountable health care: moving forward in medicare. Health affairs (Project Hope). 2009 Mar;28(2):w219–31.
Fisher, Elliott S., et al. “Fostering accountable health care: moving forward in medicare.” Health Affairs (Project Hope), vol. 28, no. 2, Mar. 2009, pp. w219–31. Epmc, doi:10.1377/hlthaff.28.2.w219.
Fisher ES, McClellan MB, Bertko J, Lieberman SM, Lee JJ, Lewis JL, Skinner JS. Fostering accountable health care: moving forward in medicare. Health affairs (Project Hope). 2009 Mar;28(2):w219–w231.
Published In
Health affairs (Project Hope)
DOI
EISSN
1544-5208
ISSN
0278-2715
Publication Date
March 2009
Volume
28
Issue
2
Start / End Page
w219 / w231
Related Subject Headings
- United States
- Social Responsibility
- Medicare
- Humans
- Health Services Accessibility
- Health Policy & Services
- Health Care Reform
- Financial Management
- 4407 Policy and administration
- 4203 Health services and systems