TITLE

Provider Alignment Is Integral to Future Success

AUTHOR(S)
Zucker, Michael C.
PUB. DATE
September 2010
SOURCE
Frontiers of Health Services Management;Fall2010, Vol. 27 Issue 1, p29
SOURCE TYPE
Periodical
DOC. TYPE
Opinion
ABSTRACT
In this article the author discusses the issues in healthcare industry in the U.S. He mentions the way healthcare is paid which is known as the traditional fee-for-service (FFS) Medicare program that is likely to end as the reimbursement policy has a shift toward pay-for-performance, value-based purchasing and bundled pricing. He also mentions the Baptist Health System (BHS) of Vanguard Health System in San Antonio, Texas.
ACCESSION #
57207662

 

Related Articles

  • Reducing costs requires end to fee-for-service. Miller, Harold D. // Modern Healthcare;6/9/2014, Vol. 44 Issue 23, p25 

    The article discusses the problems faced by the U.S. healthcare industry. It mentions that people have mistaken belief that coordinated services for patients can be delivered only by large integrated organizations. It reflects on the lack of proper payment to physicians and hospitals. It further...

  • CHAPTER 15: Medicare Part C: Medicare Advantage Plans. Matthews, Joseph // Social Security, Medicare & Government Pensions;Feb2014, p391 

    The article offers information regarding several types of Medicare Advantage plans in the U.S. It provides an overview about the country's Medicare Part C health plans as well as the two basic forms Medicare Advantage plans such as the managed care plans and the fee-for-service plans. A...

  • Modifier 23 Could Apply - If Your Physician Performed Anesthesia That's 'Unusual'.  // Medicare Compliance & Reimbursement;1/17/2011, Vol. 37 Issue 1, p6 

    The article focuses on circumstances that modifier 23 (Unusual anesthesia) can be applied in the Medicare Part B. It mentions that modifier 23 can be justified to procedures that happen outside the operating room when the physician furnishes enough documentation of medical necessity. It also...

  • The National Physician Payment Commission Recommendation to Eliminate Fee-for-Service Payment: Balancing Risk, Benefit, and Efficiency in Bundling Payment for Care. Selker, Harry; Kravitz, Richard; Gallagher, Thomas // JGIM: Journal of General Internal Medicine;May2014, Vol. 29 Issue 5, p698 

    The article discusses the recommendation by the U.S. National Commission on Physician Payment Reform to repeal fee-for-service medical fees. Particular focus is given to the risks and benefits of eliminating the payment system for medical care services. The support of the recommendation for the...

  • Getting Value from Health Spending: Going Beyond Payment Reform. Ho, Sam; Sandy, Lewis // JGIM: Journal of General Internal Medicine;May2014, Vol. 29 Issue 5, p796 

    It is widely held that fee-for-service (FFS) payment systems reward volume and intensity of services, contributing to overall cost inflation, while doing little to reward quality, efficiency, or care coordination. Recently, The National Commission on Physician Payment Reform (sponsored by SGIM)...

  • Berwick's premiere: CMS chief faces off against GOP on ACA's merits. Zigmond, Jessica // Modern Healthcare;2/14/2011, Vol. 41 Issue 7, p8 

    The article discusses the appearance of U.S. Centers for Medicare and Medicaid Services (CMS) administrator Donald Berwick before the House Ways and Means Committee on February 10, 2011 to testify and answer questions about the Patient Protection and Affordable Care Act. Berwick explained his...

  • What Businesses Need to Know.  // Washington Informer;Aug2013 Health Supplement, pH-16 

    The article presents questions and answers related to health care reform business of Patient Centered Outcomes Research Institute (PCORI) including how to determine employer status, need to comply for health insurance and how to calculate PCORI fee for company.

  • Changing The Incentives Through Payment Reform.  // Health Affairs;Sep/Oct2009, Vol. 28 Issue 5, p1372 

    The article presents an introduction to papers about alternatives to fee-for-service payments of the U.S. health care system, including one by Martha Bebinger about constraining health spending in Massachusetts, one by Harold Miller on comprehensive care payments, and one by Hoangmai Pham and...

  • Minister foresees payment for quality not episodes of care. Fountain, Barbara; Wattie, Rachel // New Zealand Doctor;8/13/2014, p10 

    The article offers the insights of New Zealand Health Minister Tony Ryall during the Royal New Zealand College of General Practice' (RNZCGP) Conference in July 2014 regarding the outcome of fee-for-service payments of quality medical care services in New Zealand by 2024.

Share

Read the Article

Courtesy of NEW JERSEY STATE LIBRARY

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics