Viewpoint: A Path Forward for Alternative Payment
This Viewpoint explores existing payment models and waste elimination incentives and proposes a new approach to addressing waste in health care. More
Employers Cut Health Costs With Incentives for Patients, Doctors
Employers can cut their health-care expenses by paying top medical providers a flat rate for a bundle of related services while offering incentives to the patients who use them, a study suggests. More
Hospital Revenue Under Maryland’s Total Cost of Care Model During the COVID-19 Pandemic, March-July 2020
This study compares revenue of Maryland hospitals in March-July 2020 vs historical trends and assesses whether rate increases for inpatient and outpatient services that were permitted to offset pandemic-related decines in revenues were associated with changes to state hospital revenue. More
Challenges of a Supplemental Private Option Under National Health Insurance—Observations From Australia
This Viewpoint describes the role of private hospital insurance in Australia, a country with universal government-sponsored insurance. More
Going Beyond One Size Fits All in Surgical Bundled Payments
This Viewpoint highlights 2 ways, based on insights from industries outside health care, to increase participation in and benefits of surgical bundles. More
Pharmacists in Ohio managing care as providers—and getting paid for it too
An insurer-led experiment adds community pharmacists to care teams in the hope of controlling chronic conditions and reducing hospital readmissions. More
Capitated payment models come with lots of hidden and not-so-hidden hurdles
The pandemic has prompted many physician groups to consider taking on risk, including capitated payments. Experts say there are regulatory, logistical hurdles to consider. More
Value-based care now at risk
Both CMS and healthcare providers are using COVID-19 as an excuse to cut back on their experiments in value-based care, a severe blow to those hoping the pandemic would catalyze badly needed change. More
How Foundational Moments In Medicaid’s History Reinforced Rather Than Eliminated Racial Health Disparities
The past months have laid bare the inextricable connection between two pandemics in the United States: COVID-19, which is disproportionately affecting Black Americans, and systemic racism, which has set the foundation for the stark health disparities we see today. More
The Hospital Industry Is In A Financial Mess: We Have A Unique Opportunity To Fix It
Since the declaration of COVID-19 as a pandemic in early March 2020, there has been a deluge of articles describing its horrible effects on hospital finances. More