DOCUMENTS

papers

Realigning incentives in fee-for-service Medicare

Published: July 1, 2003
Category: Papers
Authors: Tompkins CP, Wallack SS
Country: United States
Language: null
Type: Care Management
Setting: Academic

Health Aff 22:59-70.

Schneider Institute for Health Policy, Brandeis University, Waltham, MA, USA

This paper proposes Medicare payment reform built on the fee-for-service system, with incentive payments to eligible provider organizations determined by their rate of increase in cost per patient compared to the overall growth rate in the community. By planning and monitoring how care patterns are altered to achieve greater efficiency, policy-makers can align the incentives of Medicare and the provider organization better than using either fee-for-service or capitation alone. This reform, unlike capitation, maintains Medicare’s historical role as insurer and focuses providers on managing care.

PMID: 12889751

Targeted Program,Payment,Capitation,United States,Aged,Medicare Part B/legislation & jurisprudence,Models,Economic,Risk

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